菱形去表皮皮下蒂皮瓣支撑法矫正乳头内陷  

Correction of nipple depression by using rhomboid de-epithelialized subcutaneous flaps

作　　者：毛运春[1] 朱晓峰[2] 王宇[1] 

机构地区：[1]首都医科大学附属北京友谊医院外科,北京100050 [2]中国医学科学院中国协和医科大学整形外科医院

出　　处：《中华整形外科杂志》2003年第2期126-128,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　探索治疗先天性乳头内陷的新的手术方法。方法　采用乳头、乳晕两侧去表皮皮下蒂皮瓣充填乳头基底 ,乳头自身真皮组织充填乳头中部 ,增加乳头组织量 ,缩小乳头基底和中部及乳晕周径 ,以充分加强乳头根部保证乳头隆起。结果　自 1993年 4月～ 2 0 0 1年 5月应用此法治疗共 9例 17个乳头。术后随诊 6～ 18个月 ,所有病例无内陷复发 ,瘢痕不明显 ,感觉正常 ;术后1例病人妊娠分娩后 ,哺乳正常。结论　应用菱形去表皮皮下蒂皮瓣支撑法行乳头内陷矫正是一种可行的方法。Objective To evaluate a new technique by using rhomboid de-epithelialized subcutaneous flaps for correction of congenital nipple depression. Methods Two de-epithelialized subcutaneous flaps were formed in the areola and placed into the base of the nipple after the nipple was elevated by releasing the fibrous tissue between depressed nipple and its base. The base was then tightened to reinforce the protrusion of the nipple and prevent the withdrawal of the nipple. Results Nine patients with 17 nipples were successfully treated with above technique between 1993 and 2001. Six patients were followed up for a period from 6 to 18 months. The results were satisfactory regarding to the shape and projection of the nipple. There was no visible scar and decreasing sensation of the nipple. One woman had children after the operation and fed well. Conclusion The above mentioned technique may be an effective surgical procedure for correction of nipple depression with the advantages of preserving the lactiferous ducts, no visible scar and obtaining the sufficient protrusion and size of the nipple.;

关 键 词：乳头内陷 皮下蒂皮瓣 治疗 手术方法 

分 类 号：R655.8[医药卫生—外科学]