摘要
目的探讨预缝合技术在垂直切口乳房上提固定术的价值及手术效果。方法2010年4月至2020年8月,北京大学第三医院成形科接受单纯垂直切口矫正乳房下垂术患者47例,年龄18~51岁,平均38.2岁,术中用预缝合技术进行多余皮肤去除量设计及切除。47例患者均为乳房中、重度下垂。结果术后2~3 d拔除引流管,12~14 d拆除伤口缝线。术后乳房下垂得到矫正,乳房紧实呈前凸形态,下极轮廓侧观弧线自然;患者对术后效果均满意。术后无患者出现乳头乳晕复合体坏死、皮肤坏死、伤口愈合不良、乳头乳晕感觉异常等早期并发症。术后随访6个月至5年,未出现乳房下垂复发、乳头乳晕形态不佳、瘢痕增宽及增生等远期并发症。结论预缝合技术用于垂直切口乳房上提固定术中,可简单且准确地确定皮肤去除量,能有效避免皮肤切除量不足或过量,并使垂直切口线限制在乳房下皱襞以上,值得临床推广应用。
Objective To explore the value of tailor-tack technology in vertical mastopexy and to evaluate the clinical effect of vertical mastopexy in correcting breast ptosis.Methods From April 2010 to August 2020,47 women aged 18 to 51 years took part in the study,and the tailor-tack technology was used to ensure the amount of redundant skin removal.The patients'degree of ptosis was moderate or severe,and the average age was 38.2 years.Results All the cases had their drainage tube removed 2-3 days after surgery and the wound stitches removed 12-14 days after surgery.All patients had tight and full breasts after surgery.Patients were satisfied with their new breast shapes.After surgery,no patients showed early complications such as necrosis of nipple-areola complex or skin,poor wound healing or abnormal nipple sensation.Follow-up lasted for 6 months to 5 years,and there were no long-term complications such as recurrence of breast ptosis,poor nipple shape,scar flatten and enlargement.Conclusions Tailor-Tack technology is useful in vertical mastopexy.It can be helpful to evaluate the amount of skin removal,effectively avoiding the situation of insufficient or excessive skin removal.Therefore,this is a desirable clinical skill in mastopexy.
作者
布希
马建勋
郎岳
李比
Bu Xi;Ma Jianxun;Lang Yue;Li Bi(Department of Plastic Surgery,Peking University Third Hospital,Beijing 100191,China)
出处
《中华医学美学美容杂志》
2022年第2期127-129,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
乳房
预缝合
垂直切口
乳房上提固定术
乳房下垂
Breast
Tailor-Tack technology
Vertical incision
Mastopexy
Breast ptosis
