摘要
目的研究矫正器法乳头内陷矫正术后乳头血运障碍的临床表现、分级及对策。方法收集2014年10月至2016年10月43例患者81侧行矫正器法乳头内陷矫正术后乳头局部血运障碍症状、处理对策及转归资料,分析归纳出乳头血运障碍临床分级理论。结果术后乳头血运障碍根据临床表现分为3级,发生率为:Ⅰ级13.58%(11/81),Ⅱ级11.11%(9/81),Ⅲ级2.47% (2/81)。血运障碍Ⅱ、Ⅲ级伤口,经换药7~34 d(平均15 d)后伤口全部愈合。结论矫正器法乳头内陷矫正术后血运障碍分级理论对临床观察、处理及预后预测有很重要的指导作用。
ObjectiveThis research studied the clinical manifestation, classification and countermeasure of nipple ischemia after the corrective surgery of congenitally inverted nipples using a tractor.MethodsFrom October 2014 to October 2016, the symptoms, treatments and outcomes of postsurgical nipple ischemia (n=81) of 43 patients were collected and analyzed to propose a clinical classification theory.ResultsThis theory divided nipple ischemia into 3 categories of incidence: Grade Ⅰ at 13.58% (11/81), Grade Ⅱ at 11.11% (9/81), and Grade Ⅲ at 2.47% (2/81). After changing dressing for 7-34 days (the average of 15 days), all GradeⅡand Ⅲ wounds healed eventually.ConclusionsThe clinical classification theory of nipple ischemia can provide significant guidance for clinical observations, treatments and prognosis.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2018年第2期115-118,共4页
Chinese Journal of Plastic Surgery