摘要
目的:探讨应用内窥镜技术辅助下行假体隆乳的临床效果。方法:本次入组病例共206例,采用全身麻醉后做腋窝切口,在内镜下行胸大肌后间隙分离,离断部分胸大肌,形成双平面,置入假体。结果:本组共206例隆胸患者,术后随访123例,随访时间1个月~4年,术后大部分患者恢复良好;包膜挛缩发生Ⅱ级9例,Ⅲ级2例,本组无Ⅳ级挛缩,包膜挛缩发生率约为5.3%。本组无再次手术修复病例。结论:在内镜引导下经腋部入路"双平面"假体隆乳,具有手术切口隐蔽,术野放大,直视下操作,微创安全,止血彻底等优点,该方法适应证较广泛,并发症少,值得推广应用。
Objective To discuss the clinical results of dual-plane silicone implant mammaplasty augmentation with endoscopyassistant.Methods There were206cases in this study.After general anesthesia,dissected the pocket beneath pectroralismajor with endoscopy through transaxillary incision,cut through some strips of muscle fiber at the insertion point to createthe dual plane,inserted the implants after the pockets were done.Results There were206cases in the study and123caseswere followed up.The follow up time lasted1-48months.Most of the patients satisfied with the results.Capsule contractureof BakerⅡhappened in9cases,BakerⅢhappened in2cases,and no BakerⅣin this study.The rate of capsule contracturewas5.3%.There was no revision case.Conclusion The method of endoscopy-assistant transaxillary dual plane mammaplastyaugmentation is an more effective and safer technique,with the advantages of less visible incision scar,direct and wideroperative vision,less bleeding,more indications,and less complications.
作者
杨云霞
陈绪
张黎华
任慈
王佳琪
李琼
YANG Yun-xia;CHEN Xu;ZHANG Li-hua;REN Ci;WANG Jia-qi;LI Qiong(Shanghai Meizhiyuan Plastic Hospital,Shanghai 200040,China)
出处
《中国美容医学》
CAS
2017年第6期21-23,共3页
Chinese Journal of Aesthetic Medicine
关键词
假体
隆乳术
内窥镜
双平面
prothesis
mammaplasty augmentation
endoscope
dual plane
