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
2012年
6期
413-415
,共3页
陈育哲%谢祥%曲琦%许雅娟%李东
陳育哲%謝祥%麯琦%許雅娟%李東
진육철%사상%곡기%허아연%리동
组织扩张器%术中即时超量扩张%内镜%隆乳术
組織擴張器%術中即時超量擴張%內鏡%隆乳術
조직확장기%술중즉시초량확장%내경%륭유술
Skin and soft-tissue expansion%Intraoperative sustained expansion%Endoscopy%Augmentation mammaplasty
目的 探索在内镜辅助剥离下隆乳术中先置入扩张器进行即时超量注水扩张,完成后再置换假体的隆乳术方法及临床效果.方法 按照术前设计,腋下入路在内镜辅助下完成双平面剥离后,置入乳房假体前预先置入组织扩张器,注入生理盐水至术前预定假体的容量,观察注水后扩张器大小和位置并调整至合适程度,调整后注水量作为选择假体体积的参考.在此基础上继续即时超量注水至2倍体积,保持扩张30~60 min后,取出扩张器,置入乳房假体,完成手术.结果 120例,术后除3例早期出现血清肿后自然吸收,2例位置不佳进行Ⅱ期调整,1例出现包膜挛缩经修复后好转外,其余通过半年至2年随访,均表现为手感、动感自然,外形和谐对称,满意率达95%.结论 隆乳手术中预先置入扩张器以便进行位置调整,可以避免置入假体后再做调整对假体有损伤,可以通过增减注水量使两侧乳房大小对称,预估最后采用假体的体积,尤适用于两侧乳房不对称患者.有减轻隆乳患者术后乳房胀痛、改善乳房外形和手感的效果.
目的 探索在內鏡輔助剝離下隆乳術中先置入擴張器進行即時超量註水擴張,完成後再置換假體的隆乳術方法及臨床效果.方法 按照術前設計,腋下入路在內鏡輔助下完成雙平麵剝離後,置入乳房假體前預先置入組織擴張器,註入生理鹽水至術前預定假體的容量,觀察註水後擴張器大小和位置併調整至閤適程度,調整後註水量作為選擇假體體積的參攷.在此基礎上繼續即時超量註水至2倍體積,保持擴張30~60 min後,取齣擴張器,置入乳房假體,完成手術.結果 120例,術後除3例早期齣現血清腫後自然吸收,2例位置不佳進行Ⅱ期調整,1例齣現包膜攣縮經脩複後好轉外,其餘通過半年至2年隨訪,均錶現為手感、動感自然,外形和諧對稱,滿意率達95%.結論 隆乳手術中預先置入擴張器以便進行位置調整,可以避免置入假體後再做調整對假體有損傷,可以通過增減註水量使兩側乳房大小對稱,預估最後採用假體的體積,尤適用于兩側乳房不對稱患者.有減輕隆乳患者術後乳房脹痛、改善乳房外形和手感的效果.
목적 탐색재내경보조박리하륭유술중선치입확장기진행즉시초량주수확장,완성후재치환가체적륭유술방법급림상효과.방법 안조술전설계,액하입로재내경보조하완성쌍평면박리후,치입유방가체전예선치입조직확장기,주입생리염수지술전예정가체적용량,관찰주수후확장기대소화위치병조정지합괄정도,조정후주수량작위선택가체체적적삼고.재차기출상계속즉시초량주수지2배체적,보지확장30~60 min후,취출확장기,치입유방가체,완성수술.결과 120례,술후제3례조기출현혈청종후자연흡수,2례위치불가진행Ⅱ기조정,1례출현포막련축경수복후호전외,기여통과반년지2년수방,균표현위수감、동감자연,외형화해대칭,만의솔체95%.결론 륭유수술중예선치입확장기이편진행위치조정,가이피면치입가체후재주조정대가체유손상,가이통과증감주수량사량측유방대소대칭,예고최후채용가체적체적,우괄용우량측유방불대칭환자.유감경륭유환자술후유방창통、개선유방외형화수감적효과.
Objective To evaluate the results of prosthesis augmentation,relieve suffering patient experience,improve shape and touch of breast.Methods According to design,in dual-plane mammaplasty transaxillary approach with endoscopic assistance,we used soft-tissue expansion before prosthesis,saline volume in expander was the same as prosthesis size at beginning; adjusting expander volume and position,then determined prosthesis size according to expander volume lastly.after intraoperative sustained expansion for 30 to 60 minutes twice prosthes volume,replace expander with prosthesis.Results This method was applied in 120 patients,showing that pain significantly reduced after expansive without use of analgesia pump; complications included that 3 patients appeared seroma and absorbed soon; 2 patients had poor prosthese location,which was adjusted in reoperation; one capsular contracture was repaired later.After 6-months to 2-years follow-up,the results showed that breast was nature and dynamic; satisfactory rate reached to 95 %.Conclusions In augmentation mammaplastic operation,pre-adoption of an expander can make it easy to adjust the location of prosthesis,to avoid being injured and to determine prosthesis volume by expander injection of saline volume,especially for patient with different size of both breasts.