摘要
目的:探讨内窥镜辅助假体隆乳手术,术前精确设计和术中精准控制的方法、技巧和作用。方法:采用笔者提出的“十一精确设计法”,进行乳房假体选择和术前画线设计;术中全程用内窥镜进行精准控制,直视下剥离胸大肌后间隙,用针头穿刺精准定位剥离边缘;内窥镜直视下精准形成“高位双平面”。结果:2015年2月-2018年12月,采用此方法共完成内窥镜辅助假体隆乳1 658例,术后早期出血3例。随访6~24个月,Ⅲ级包膜挛缩8例,可触及假体边缘感21例,假体移位2例,无感染、血肿、血清肿、窗帘征、双泡畸形、Ⅳ级包膜挛缩等并发症发生。结论:假体隆乳术前精确设计,术中在内窥镜直视下精准控制,是保证内窥镜辅助假体隆乳取得良好效果的有效方法,是精准可控的假体隆乳方式,值得在临床上推广应用。
Objective To explore the methods,skills and functions of precise preoperative design and precise intraoperative control in endoscope-assisted augmentation mammoplasty.Methods Eleven precise design methods proposed by the author were used to select breast prostheses and draw lines before operation.During the whole operation,the endoscope was used for precise control.The posterior space of the pectoralis major muscle was peeled off under direct vision,and the peeling edge was accurately positioned by needle puncture.The“high position double plane”was accurately formed under the direct vision of endoscope.Results From February 2015 to December 2018,1 658 cases of endoscope-assisted augmentation mammoplasty were completed by this method,early bleeding occurred in 3 cases.Following up for 6~24 months,there were 8 cases of gradeⅢcapsular contracture,21 cases of palpable marginal sensation and 2 cases of prosthesis displacement.No complications such as infection,hematoma,seroma,curtain sign,double vesicle deformity and gradeⅣcapsular contracture occurred.Conclusion Precise design before augmentation mammoplasty and precise control during operation under endoscopy are effective methods to ensure good results of augmentation mammoplasty assisted by endoscope.It is a precise and controllable method of augmentation mammoplasty,and it is worth popularizing and applying in clinic.
作者
唐新辉
李京
刘英
王杰
彭正春
宋茂启
TANG Xin-hui;LI Jing;LIU Ying;WANG Jie;PENG Zheng-chun;SONG Mao-qi(Department of Plastic and Cosmetic Surgery,Boao YILING Life Care Center Hospital,Qionghai 571400,Hainan,China;Department of Plastic and Cosmetic Surgery,Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine,Nanning 530011,Guangxi,China)
出处
《中国美容医学》
CAS
2019年第10期1-4,共4页
Chinese Journal of Aesthetic Medicine
关键词
内窥镜
隆乳术
乳房假体
双平面法
胸大肌
并发症
endoscope
augmentation mammoplasty
breast implant
dual-plane technique
pectoralis major
complications
