摘要
目的减少常规隆乳术中因盲视分离对组织的损伤及术中出血,探讨在内镜辅助下经腋窝切口行乳腺后间隙隆乳术的可能性。方法2005年以来,在内镜下经腋窝切口行乳腺后间隙隆乳术27例,术中出血显著减小,并大为减轻钝性分离的创伤。结果27例术后除1例发生切口部分愈合不良外,均无血肿、血清肿及感染发生。16例术后随访6个月~1年,1例发生Baker分级Ⅱ度假体纤维包膜囊挛缩硬化,其余手感良好,外形满意。结论内镜下隆乳术可降低对麻醉的要求,有效控制术中出血,减少术中创伤,便于置入假体的准确定位,减轻术后疼痛。
Objective To investigate the feasibility of endoscope assisted transaxillary subglandular breast augmentation in order to minimize the bleeding and tissue injury. Methods Since 2005, 27 patients underwent endoscope assisted transaxillary subglandular breast augmentation. Intraoperative bleeding and dissection injury were markedly decreased. Results There was no hematoma, seroma and infection except for one case with partial poor incision healing. 16 cases were followed-up for six months to one year. Only one case developed fibrous capsular contracture (Baker II ). Good results achieved in all the other cases. Conclusions Endoscope assisted breast augmentation can reduce the pain, bleeding and tissue injury. It can also help to put implants to right position.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2008年第2期133-135,共3页
Chinese Journal of Plastic Surgery