摘要
目的 探讨真皮瓣内托法矫正中、重度乳头内陷的方法与疗效.方法 于乳头乳晕处设计2个5mm×8mm矩形皮瓣,使乳头基底部两侧相互贯通,将两侧真皮瓣向中间拉拢并褥式缝合,托起乳头.结果 本组20例患者（28侧）,均为中、重度乳头内陷.术后随访6个月至3年,乳头乳晕区血运良好,切口均Ⅰ期愈合,外形满意,哺乳正常.1例（1侧）真皮瓣连接部缝线滑脱,经再次手术后,效果满意.结论 真皮瓣内托法矫治中、重度乳头内陷,效果显著,操作简单,安全,值得临床推广.
Objective To explore the technique and effect of the repair and reconstruction of severe depressed nipple by dermal tissue flaps expelling from internals. Methods Two 5 mm× 8 mm areolar dermal tissue flaps were designed on each side to make the base of nipple perforated. Then the flaps were draw toward the central side and mattress suture was performed to lift the nipple. Results Totally 20 patients （28 nipples） with moderate or severe depressed nipple were treated in this study. After 6 to 36 months follow-up, all cases were satisfied with nipple-areola blood supply, primary wound healing, nice appearance and normal breast-feeding function. One case （ one nipple） with seam slippage at the connection of the flaps was cured after secondary operation with satisfactory results. Conclusion Repair of the moderate or severe depressed nipple with dermal tissue flaps expelling from internals could receive effective results with such advantages as safe and easy performance. It is worth spreading in clinic.
出处
《中国美容整形外科杂志》
CAS
2011年第3期139-141,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
乳头内陷
真皮瓣
埋线
内托
Depressed nipple
Dermal tissue flap
Buried suture
Internal expelling
