摘要
目的 探讨真空辅助乳腺微创旋切系统在自体脂肪移植隆胸术后乳房肿块治疗中的疗效及应用价值。方法 回顾性分析我科2018年12月至2022年12月收治的34例自体脂肪移植隆胸术后乳房肿块患者的临床资料,根据超声表现将乳房肿块分为囊性、实性、混合性和钙化灶四种类型,比较超声引导下EnCor微创旋切系统对四种类型乳房肿块患者的治疗效果、并发症和满意度。结果 34例患者中有囊性肿块12例(35%),实性肿块5例(15%),混合性肿块10例(29%),钙化灶7例(21%)。四种类型的乳房肿块均能被微创旋切系统完整准确地切除,所有患者未出现乳房感染等严重并发症,仅有2例患者出现术后皮肤瘀斑。术后随访12~24个月,均未发现复发。所有患者恢复良好,31例(91%)对治疗效果和切口外观表示满意。结论 真空辅助乳腺微创旋切系统在自体脂肪移植隆胸术后乳房肿块治疗中具有安全、有效、微创和美观等优势,是一种值得推广的治疗方法。
Objective This study aims to investigate the effectiveness and application value of the vacuum-assisted minimally invasive rotational cutting system in the treatment of breast lumps following autologous fat transplantation for breast augmentation.Methods A retrospective analysis of clinical data was conducted on 34 patients with breast lumps after autologous fat transplantation breast augmentation treated in our department from December 2018 to December 2022.Based on ultrasound findings,breast lumps were classified into four types:cystic,solid,mixed,and calcification.The study compared the treatment outcomes,complications,and patient satisfaction under ultrasound-guided EnCor minimally invasive rotational cutting system for these four types of breast lumps.Results Among the 34 patients,there were 12 cases of cystic lumps(35%),5 cases of solid lumps(15%),10 cases of mixed lumps(29%),and 7 cases of calcifications(21%).The EnCor minimally invasive rotational cutting system successfully and accurately removed all four types of breast lumps.No serious complications,such as breast infection,were observed in any of the patients.Only 2 patients experienced postoperative skin bruising.Follow-up conducted between 12 to 24 months postoperatively revealed no recurrence.All patients experienced good recovery,and 31 patients(91%) expressed satisfaction with the treatment outcomes and cosmetic results.Conclusion The vacuum-assisted breast minimally invasive rotary cutting system has advantages such as safety,efficacy,minimally invasiveness,and aesthetic effects in the treatment of breast lumps after autologous fat grafting breast augmentation,and is a valuable treatment method that deserves to be promoted.
作者
陈晨羲
张勇
何安琪
亓发芝
郑少鸾
刘家祺
CHEN Chen-xi;ZHANG Yong;HE An-qi;Qi Fa-zhi;ZHENG Shao-luan;LIU Jia-qi(Department of Plastic and Reconstructive Surgery,Xiamen Branch,Zhongshan Hospital,Fudan University,Fujian Province,361015,China;Department of Plastic and Reconstructive Surgery,Zhongshan Hospital,Fudan University,Shanghai City,200032,China)
出处
《中国医疗美容》
2023年第12期1-4,共4页
China Medical Cosmetology
基金
厦门市医疗卫生指导性项目(3502Z20224ZD1075)
福建省卫生健康中青年骨干人才培养项目(2020GGB061)
复旦大学附属中山医院厦门医院孵化课题(2020zsxmys21)。
