CAJ | 학술논문

目的探讨单纯持续牵引法和乳晕真皮瓣填充法两种矫正乳头内陷方法的优缺点及疗效.方法单纯持续牵引法矫正32例60只内陷乳头,乳晕真皮瓣填充法矫正32例62只内陷乳头.术后平均随访12个月.对两组患者术后效果进行对比,并进行统计学分析.结果单纯持续牵引组伤口愈合情况、乳头形态、血运及感觉情况、保留哺乳功能情况均优于真皮瓣填充组；乳头直径及高度、乳头回缩及复发率等,两组比较差异无统计学意义.结论单纯持续牵引法优于真皮瓣填充法,两种方法对于治疗各种类型的乳头内陷安全有效,两组患者在症状和外形上均能得到改善.
목적 탐토단순지속견인법화유훈진피판전충법량충교정유두내함방법적우결점급료효.방법 단순지속견인법교정32례60지내함유두,유훈진피판전충법교정32례62지내함유두.술후평균수방12개월.대량조환자술후효과진행대비,병진행통계학분석.결과 단순지속견인조상구유합정황、유두형태、혈운급감각정황、보류포유공능정황균우우진피판전충조；유두직경급고도、유두회축급복발솔등,량조비교차이무통계학의의.결론 단순지속견인법우우진피판전충법,량충방법대우치료각충류형적유두내함안전유효,량조환자재증상화외형상균능득도개선.
Objective To investigate the difference between simple continued traction and areola dermal flap filling in inverted nipple correction surgery.Methods There were 60 nipples of 32 patients in simple continuous traction group and 62 nipples of 32 patients in dermal flap filling group.Follow-up was conducted for 12 months.The surgical results were compared with statistical analysis.Results Wound healing,nipple shape,blood supply,feeling and breast-feeding function in simple continuous traction group were better than those of the dermal flap filling group.There was no statistically significant difference in diameter and height of nipple,nipple retraction and relapse rate between the two groups.Conclusions Simple continuous traction is superior to dermal flap filling.Both methods are safe and effective for the treatment of various types of inverted nipple and two groups of patients have improved in symptoms and appearance.