中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2014年
4期
254-256
,共3页
复合组织瓣%矫正%先天性乳头内陷
複閤組織瓣%矯正%先天性乳頭內陷
복합조직판%교정%선천성유두내함
Compound tissue flap%Correction%Congenital nipple inversion
目的 探索一种矫正重度先天性乳头内陷的手术方法,以降低术后复发率,达到稳定持久的效果.方法 对16例双侧重度先天性乳头内陷者行手术治疗,以内陷的乳头为中心于3点、9点的位置设计2个方向的菱形皮肤切口线及乳晕侧深面的三角形真皮乳腺腺体复合组织瓣,将2个复合组织瓣于乳头下方相互交叉固定,从而支撑内陷乳头的基底.同时,松解并剪断乳头基底乳腺导管周围的纤维组织,并通过缝合菱形皮肤切口短对角线两端来缩紧乳头颈部以形成挺拔的外形.结果 术后16例乳头均保持挺拔饱满的形态,无1例出现感染、血肿、坏死等并发症,术后6～24个月进行随访未出现复发.结论 真皮乳腺腺体复合组织瓣法简单、安全,容易掌握,术后乳头无血运障碍,远期不易复发,是矫正重度先天性乳头内陷较好的方法之一,值得临床推广应用.
目的 探索一種矯正重度先天性乳頭內陷的手術方法,以降低術後複髮率,達到穩定持久的效果.方法 對16例雙側重度先天性乳頭內陷者行手術治療,以內陷的乳頭為中心于3點、9點的位置設計2箇方嚮的蔆形皮膚切口線及乳暈側深麵的三角形真皮乳腺腺體複閤組織瓣,將2箇複閤組織瓣于乳頭下方相互交扠固定,從而支撐內陷乳頭的基底.同時,鬆解併剪斷乳頭基底乳腺導管週圍的纖維組織,併通過縫閤蔆形皮膚切口短對角線兩耑來縮緊乳頭頸部以形成挺拔的外形.結果 術後16例乳頭均保持挺拔飽滿的形態,無1例齣現感染、血腫、壞死等併髮癥,術後6～24箇月進行隨訪未齣現複髮.結論 真皮乳腺腺體複閤組織瓣法簡單、安全,容易掌握,術後乳頭無血運障礙,遠期不易複髮,是矯正重度先天性乳頭內陷較好的方法之一,值得臨床推廣應用.
목적 탐색일충교정중도선천성유두내함적수술방법,이강저술후복발솔,체도은정지구적효과.방법 대16례쌍측중도선천성유두내함자행수술치료,이내함적유두위중심우3점、9점적위치설계2개방향적릉형피부절구선급유훈측심면적삼각형진피유선선체복합조직판,장2개복합조직판우유두하방상호교차고정,종이지탱내함유두적기저.동시,송해병전단유두기저유선도관주위적섬유조직,병통과봉합릉형피부절구단대각선량단래축긴유두경부이형성정발적외형.결과 술후16례유두균보지정발포만적형태,무1례출현감염、혈종、배사등병발증,술후6～24개월진행수방미출현복발.결론 진피유선선체복합조직판법간단、안전,용역장악,술후유두무혈운장애,원기불역복발,시교정중도선천성유두내함교호적방법지일,치득림상추엄응용.
Objective To explore a technique to correct severe congenital nipple inversion,which has preferable clinical curative effect and lower recurrence rate.Methods 16 patients with bilateral severe congenital nipple inversion were included in the study.The rhomboid skin incision and triangular dermal breast compound tissue flap was designed in two directions.One compound tissue flap was pulled out through the tunnel under the nipple to the opposite side and sutured at the base of the other flap.The cross-fixation was accomplished to support the nipple tissue.The shortened lactiferous ducts and fibrous bands beneath the nipples were released.The nipple neck was tightened by suturing the shorter diagonal of rhomboid skin incision.Results No complications,such as infection,hematoma and necrosis,were found in all cases.All nipples manifested satisfactory aesthetic projection without recurrence after 6-24 months follow-up.Conclusions In the treatment of severe congenital nipple inversion,the technique of the nipple suspension using two triangular dermal breast compound tissue flaps could provide a strong suspension system with less recurrence rate.And the nipple neck could be tightened by suturing the shorter diagonal of rhomboid skin incision in the meantime.The nipple will manifest satisfactory aesthetic projection.
