CAJ | 학술논문

目的:探讨在内窥镜辅助下腋窝入路双平面法隆乳术的应用.方法:全麻下,采用腋窝切口,在10mm 30°内窥镜直视下用电钩沿胸大肌后间隙精确剥离受植腔隙,并在第五肋间水平处横行离断胸大肌,暴露乳腺和皮下组织,置入硅凝胶乳房假体后使假体大部分被胸大肌覆盖而近乳房下皱襞处被乳腺覆盖,形成双平面覆盖.结果:21例患者术后疼痛评分均在2分以下,明显小于普通盲视下腋窝入路胸大肌后隆乳术后患者的疼痛评分.无血肿发生;随访2~6个月,所有患者双侧乳房外形自然、对称,乳房下极饱满,形态长期自然稳定,手感良好,无疼痛及局部肿胀轻,无包膜挛缩发生.结论:在内窥镜辅助下,经腋窝入路双平面法隆乳术能精确剥离,预先止血,术后乳房下极饱满,并发症少,是一种值得推广的隆乳手术方法.
목적:탐토재내규경보조하액와입로쌍평면법륭유술적응용.방법:전마하,채용액와절구,재10mm 30°내규경직시하용전구연흉대기후간극정학박리수식강극,병재제오륵간수평처횡행리단흉대기,폭로유선화피하조직,치입규응효유방가체후사가체대부분피흉대기복개이근유방하추벽처피유선복개,형성쌍평면복개.결과:21례환자술후동통평분균재2분이하,명현소우보통맹시하액와입로흉대기후륭유술후환자적동통평분.무혈종발생;수방2~6개월,소유환자쌍측유방외형자연、대칭,유방하겁포만,형태장기자연은정,수감량호,무동통급국부종창경,무포막련축발생.결론:재내규경보조하,경액와입로쌍평면법륭유술능정학박리,예선지혈,술후유방하겁포만,병발증소,시일충치득추엄적륭유수술방법.
Objective To explore the application of transaxillary dual- plane augmentation mammoplasty with endoscope. Methods General anesthesia,the axillary incision,Subpectoral space was stripped by using electric hook in the endoscope(in 10 mm,30 degree).At the fifth intercostal transverse transection of the pectoralis major,exposed mammary and subcutaneous tissue.Then put the silicone gel breast implants into the subpectoral space.The implants were covered by pectoralis major and mammary. Results All 21 patients had a postoperative pain score of less than 2 points,no hematoma.The follow-up period was 2 to 6 months,all patients with bilateral breast natural shape, symmetry,under very plump breasts,feel good,no pain,no capsule contracture, and with satisfactory results. Conclusion In endoscopic assisted by transaxillary dual-plane augmentation mammoplasty can accurately peeled pre bleeding,fewer complications,to meet the requirements of the modern woman on natural beauty.