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矫正器持续牵引法治疗乳头内陷并发症分析 被引量:18

Complication analysis of nipple retractor in correcting inverted nipple
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摘要 目的了解持续牵引法矫正乳头内陷的并发症发生率,分析并发症发生原因,以便完善手术方法,提高手术疗效。方法回顾分析51例(95侧)乳头内陷患者,应用持续牵引法矫正,统计并发症的种类及发生率。结果并发症的发生率为32.63%(31/95侧),其中乳晕皮肤色素改变21.05%(20/95侧)、乳头基底皮肤糜烂5.26%(5/95侧)、钢丝移位4.21%(4/95侧)、乳头坏死2.11%(2/95侧)。结论矫正器法治疗乳头内陷的并发症与术中操作和术后护理不当有关,可以改进。乳晕皮肤色素改变是持续牵引法矫正乳头内陷的主要并发症,但是不影响乳头的隆起和形态。相比其他术式的瘢痕和切断乳腺导管的并发症,患者更能接受此方法。 Objective To evaluate the complication of nipple retractor in correcting invertecd nipples. Methods 51 patients (95 inverted nipples) who wore nipple retractor in our hospital were included. All the complications they suffered were evaluated. Results The total complication rate was 32.63% (31/95 nipples), include areolar depigmentation (21.05% , 20/95 ), areolar pressure ulcer (5.26%, 5/29), wire dislocation (4.21%, 4/95 ), nipple necrosis ( 2. 11%, 2/95 ). Conclusions Improper operation technique and insufficient post operation medical care are related with high complication rate of nipple retractor. The most common complication is areolar depigmentation, which will not result in nipple deformity or dysfunction. The nipple retractor could avoid additional scars and ductal injury, which is less traumatic than other techniques.
出处 《中华整形外科杂志》 CAS CSCD 北大核心 2013年第1期15-17,共3页 Chinese Journal of Plastic Surgery
关键词 乳头内陷 矫正器 并发症 Nipple Orthotic devices Complication
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参考文献6

  • 1Schwager RG, SmithJW, Gray GF. Inversion of the human female nipple with a simple method of treatment. Plast Reconstr Surg,1974, 54 :564-569.
  • 2Min KH, Park SS, Heo CY. Scar-free technique for inverted?nipple correction. Aesth Plast Surg,2010 ,34: 116-119.
  • 3CrestinuJM. The correction of inverted nipples without scars: 17 years' experience, 452 operations. Aesth Plast Surg , 2000 , 24 : 52-57.
  • 4Kim DY,Jeong EC, Eo SR, et al. Correction of inverted nipple: an alternative method using two triangular areolar dermal flaps. Ann Plast Surg, 2003, 51: 636-640.
  • 5赵茹,乔群,蒋文杰,孙宝东,闫迎军.乳头内陷矫正器的设计与临床应用[J].中华整形外科杂志,2004,20(4):317-318. 被引量:31
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