乳头内陷整形术改良

Improvement of Inverted Nipple Plastic Operation

乳头内陷不仅是形态上的畸形,而且在哺乳等重要机能方面也存在障碍,并对病人心理上也造成一定压力。乳头内陷整形术的方法有许多种,主要以切不切断乳腺导管而分为2大类。我们参照已报道的各种手术方法,首先以保存哺乳等重要机能为前提,通过对酒井法做技术性改良。并对临床症状进行5级分类,使之更方便手术适应证的选择。新的手术方法最大限度控制手术损伤程度,简化手术操作。彻底切除乳腺导管间纤维束,切断乳头肌,保存乳腺导管及血管。通过2个Z形皮瓣的构成,制造乳头颈部,并保持乳头形态。防止术后复发,在临床取得了良好效果。本手术方法与其他手术不同之处在于乳头顶部皮肤不切断,保证乳腺导管的连续性,保留正常的哺乳功能,及皮瓣血流畅通,防止皮瓣坏死。

The inverted nipple is not only abnormality in morphology, but also in dysfunction in mammary as well as depression in psychology. The plastic operations for inverted nipple were mainly divided into 2 types according to disconnection of mammary duct. The varied operative methods were considered and Sakei method was improved according to protection of mammary function. The 5 classes based on clinical symptom were taken as selection of operative indication and new method had controlled operative injury as possible as it cotuld be and simplified operative performance. The mammary duct and vessels were protected after resection of duct fibro - brand and musle, then 2 ＂Z＂ flaps were performed to make neck of nipple and kept nipple morphology so that prevent relapse after operation. This method might keep continuous of mammary duct and its main function, flap blood supply and prevention of necrosis of flap.