摘要
目的探讨经腋窝入路内窥镜下超声刀与电刀分离假体植入腔隙的临床效果。方法2019年1月至2020年12月,南京医科大学友谊整形外科医院整形外科经腋窝入路内窥镜下行假体隆乳术女性患者125例,年龄21~44岁,平均32.5岁。用超声刀分离腔隙组(超声刀组)64例,用传统电刀分离腔隙组(电刀组)61例,对比两组患者手术时间、手术速度、术后引流量、拔管时间、住院时间,并进行统计分析。结果与电刀组比较,超声刀组平均手术时间为75(71~90)min,明显短于电刀组105(80~135)min(t=4.10,P<0.001),手术速度(3.27±0.44)ml/min明显快于电刀组(2.52±0.72)ml/min(t=4.71,P<0.001),术后累计引流量130.5(98.8~193.3)ml明显少于电刀组281.75(145.5~328.3)ml(t=3.54,P<0.001),拔管时间3(3~4)d和住院时间3(3~4)d均明显短于电刀组4(3~4)、5(4~6)d,(t=3.58,4.06,均P<0.05)。结论超声刀用于内窥镜下隆乳术具有安全、可靠、高效特点;提高手术效率同时,可减少术后累计出血量、缩短拔管时间、住院时间,值得临床应用。
Objective To evaluate the clinical effects of the dissection of the implant pockets with ultrasonic scalpel or traditional electroscalpel through the axillary approach under endoscopic assistant.Methods A total of 125 female patients with an average of 32.5 years,ranged from 21 to 44 years,underwent endoscopic-assisted transaxillary breast augmentation in the Department of Plastic Surgery,the Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University,from January 2019 to December 2020,were analyzed retrospectively.The implant pockets were dissected with ultrasonic scalpel(ultrasonic scalpel group)in 64 patients or with traditional electroscalpel(electroscalpel group)in 61 patients.The operation time,operation speed,postoperative drainage,drainage tube removal time and hospital stay of the two groups were compared and analyzed statistically.Results Compared with the electroscalpel group,the average operation time of the ultrasonic scalpel group 75(71-90)min was significantly shorter than that of the electroscalpel group 105(80-135)min(t=4.10,P<0.001),the operation speed(3.27±0.44 ml/min)was faster than that of the electroscalpel group(2.52±0.72 ml/min)(t=4.71,P<0.001),the postoperative drainage 130.5(98.8-193.3)ml was significantly less than that of the electroscalpel group 281.75(145.5-328.3)ml(t=2.21,P<0.05),and the drainage tube removal time 3(3-4)d and hospital stay 3(3-4)d were remarkablely shorter than that of the electroscalpel group 4(3-4)d,5(4-6)d(t=3.58;t=4.06,P<0.05).Conclusions The application of ultrasonic scalpel in endoscopic-assisted transaxillary breast augmentation is safe and reliable.In addtion to improving the surgical efficiency,ultrasonic scalpel can reduce blood loss,shorten the time of hospital stay and reduce complications,which is worthy of further promotion in clinical application.
作者
陈赫
王树
张文文
胡超
卢通
高升
吴国平
Chen He;Wang Shu;Zhang Wenwen;Hu Chao;Lu Tong;Gao Sheng;Wu Guoping(Department of Plastic Surgery,the Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University.Nanjing 210029,China)
出处
《中华医学美学美容杂志》
2022年第3期189-193,共5页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
乳房成形术
假体植入
超声刀
电刀
内窥镜辅助
Mammaplasty
Prosthesis mplantation
Ultrasonic scalpel
Electroscalpel
Endoscopic-assisted
