CAJ | 학술논문

目的探讨一种乳晕双菱形真皮瓣交叉填充支撑法矫正乳头内陷的手术方法及矫正效果.方法对乳头内陷36例64侧,设计双菱形去表皮真皮瓣,于乳头基底部交叉填充支撑乳头,并固定.术后乳头悬吊1周,10 d拆线.结果 36例乳头内陷患者术后均未发生乳头血运障碍.随访6个月至3年,乳头内陷无复发,乳头外形医患双方均满意,乳头感觉无障碍.结论采用乳晕双菱形真皮瓣交叉填充支撑法矫正乳头内陷,操作简单,乳头形态自然,血运无障碍,感觉功能正常,切口隐蔽,瘢痕不明显,能保留哺乳功能,是较为理想的乳头内陷矫治方法.
목적 탐토일충유훈쌍릉형진피판교차전충지탱법교정유두내함적수술방법급교정효과.방법 대유두내함36례64측,설계쌍릉형거표피진피판,우유두기저부교차전충지탱유두,병고정.술후유두현조1주,10 d탁선.결과 36례유두내함환자술후균미발생유두혈운장애.수방6개월지3년,유두내함무복발,유두외형의환쌍방균만의,유두감각무장애.결론 채용유훈쌍릉형진피판교차전충지탱법교정유두내함,조작간단,유두형태자연,혈운무장애,감각공능정상,절구은폐,반흔불명현,능보류포유공능,시교위이상적유두내함교치방법.
Objective To explore a new methodology with bilateral rhomboid dermal flaps for surgical treatment of inverted nipple. Methods 36 cases with 64 inverted nipples were involved in this study. Among these cases, 8 of them were evaluated as mild degree, while 19 moderate and 9 severe. In this procedure, the bilateral rhomboid incisions were designed. The rhomboid skin was deepithelialized and two dermal flaps were created. Then these two dermal flaps were filled crosswise through the tunnel beneath the nipple and fixed as supporting. After the operation, the continuous traction of the nipple lasted for one week, and sutured out 10 days later. Results None of these 36 cases appeared nipple blood circulation disorder after operation. Postoperative follow-up for 6 months-3 years showed that the appearance of the nipple was satisfactory. There were no recurrence and sensory disturbance. Conclusions The method introduced in this study is simple, the appearance of nipple is natural and no complication has been found. The incision is larvaceous while the scar is invisible. Meanwhile this method is also benefit for reserving the function of breast-feeding. It is proved to be an ideal method for correcting the inverted nipple.