双平面法假体隆乳术的临床应用体会

Clinical application of dual plane breast augmentation

目的:探讨双平面法假体隆乳术临床应用的可行性及可靠性。方法:自2009年5月～2012年12月,行双平面法假体隆乳术92例,经有效随诊回访1个月至6个月以上者87例,其中切口选择腋下者26例,乳晕者61例。结果:87例(174只)乳房形态自然,无移位及双乳房现象,未见明显肌肉移位而产生乳房畸形的现象,无血肿、感染及包膜挛缩等并发症,医患双方均较满意。结论:双平面法假体隆乳术,由于假体处于双平面,增加了假体置入腔隙的容积,并且肌肉的收缩和腺体在假体表面的滑动,使三者处于动态的相互作用中,减少了假体与腺体的接触面积,降低了包膜挛缩的发生率。对于乳腺组织稀少者分离切断肌肉的位置应在下皱襞上2～3cm,至少应在乳腺腺体能覆盖的范围之内,否则假体易向外疝出以致术后极易触到假体边缘。

Objective To evaluate the effect of augmentation mammaplasty with dual-plane method in clinical operation. Methods 92 patients were treated by the specific technique of dual -plane augmentation mammaplasty from May 2009 to December 2012.In these surgeries,26 patients were performed via axillary approach,and 61 patients were performed via breast areola approach. Results Follow-up data （1 ～6 months） was successfully obtained for 87 patients,the shapes of their breast were natural,non -displaced and without bimastism phenomenon,we didn＇t find any obvious malformations caused by muscle transposition, and there were not any hematoncus,infections and cosmetic concerns. Conclusion This mammaplasty,because in a double plane,increases the volume of the prosthesis in space, and the contraction of muscles and glands in the sliding surface of the prosthesis, three are dynamic interactions,reducing the contact area of prosthesis and glands, reduce the incidence of capsular contracture.For the breast tissues are rare separation cut muscle position should be in the fold 2～3cm,at least in the mammary glands within the scope cover, otherwise easily outward hernia prosthesis that postoperative easily touch the prosthesis edge.