CAJ | 학술논문

目的探讨在乳晕周围环形切口乳房缩小整形术中应用聚丙烯单丝网片作支撑悬吊材料常见并发症发生的原因及防治措施.方法对1999年12月至2005年12月行此项手术的78例患者的临床资料进行分析.并对其中得到随访(6个月至5年)的47例远期手术效果进行评价.结果 78例患者的近期并发症中血清肿3例,感染3例(伴网片外露2例),切口延期愈合3例,乳头乳晕感觉障碍1例,未发生血肿、皮瓣坏死及脂肪液化等并发症.47例得以随访者乳房上极皮肤波浪状畸形7例,乳房边缘触及硬结3例,乳晕周围瘢痕增宽继发下垂2例,乳头乳晕感觉障碍1例,其余病例外观和自我感觉均良好.有2例术后成功哺乳,5例术后行乳房X线摄影,未发现网的显像和乳房钙化灶.结论聚丙烯单丝网片作为乳房悬吊材料效果尽管较好,但因质地较硬、远期并发症较高,有必要寻找更为柔软安全可靠的替代材料.
목적 탐토재유훈주위배형절구유방축소정형술중응용취병희단사망편작지탱현조재료상견병발증발생적원인급방치조시.방법 대1999년12월지2005년12월행차항수술적78례환자적림상자료진행분석.병대기중득도수방(6개월지5년)적47례원기수술효과진행평개.결과 78례환자적근기병발증중혈청종3례,감염3례(반망편외로2례),절구연기유합3례,유두유훈감각장애1례,미발생혈종、피판배사급지방액화등병발증.47례득이수방자유방상겁피부파랑상기형7례,유방변연촉급경결3례,유훈주위반흔증관계발하수2례,유두유훈감각장애1례,기여병예외관화자아감각균량호.유2례술후성공포유,5례술후행유방X선섭영,미발현망적현상화유방개화조.결론 취병희단사망편작위유방현조재료효과진관교호,단인질지교경、원기병발증교고,유필요심조경위유연안전가고적체대재료.
Objective To investigate the cause and the prophylactic measures for the complication following the periareolar reduction mammaplasty using polypropylene mesh as suspension device.Methods From Dec. 1999 to Dec. 2005, 78 patients who underwent periareolar reduction mammaplasty using polypropylene mesh as suspension device were analysed.Among them,47 cases were followed-up for 6 months to 5 years,and their long-term effect was evaluated.Results Early after operation,complications included seroma (3 cases),infection (3 cases),delayed wound healing (3 cases),and paraesthesia of nipple-areolar complex (1 case).The 47 followed-up patients presented abnormal wave-like skin appearance in superior polar of breast (7 cases),palpable cord-like mammary content in peripheral region of breast (3 cases),widening of periarcolar scar and secondary ptosis (2 cases) and paraesthesia of nipple-areolar complex (1 case).All other patients acquired good appearance and felt satisfactory.2 patients could lactate after operation.5 patients underwent mammary X-ray radiography after operation. No mesh shadow or calcification was revealed.Conclusions Although polypropylene mesh is a good suspension device in reduction mammaplasty,the longterm complication is relatively high because of the hardness of the tissue.More soft tissue is necessary as alternative device for clinical application.