自制可调式矫正器持续牵引治疗乳头内陷

CONTINUOUS TRACTION TREATMENT FOR CORRECTION OF INVERTED NIPPLE WITH SELF-MADE ADJUSTABLE TRACTOR

目的 探讨采用自制可调式矫正器持续牵引治疗乳头内陷的疗效。方法 2005年3月-2011年3月,采用自制可调式矫正器持续牵引2～4个月治疗37例（69侧）先天性乳头内陷患者。患者年龄18～46岁,平均23岁。单侧乳头内陷5例,双侧32例。按临床分类法,轻度8例（15侧）,中度16例（30侧）,重度13例（24侧）。其中2例（4侧）为手术治疗后复发,1例（2侧）重度乳头内陷导致炎症。结果 牵引期间均无感染、乳头血运障碍发生。患者均获随访,随访时间6～12个月,平均8.2个月。1例（2侧）重度乳头内陷炎症引流后经久不愈者,经牵引治疗后切口愈合。1例（1侧）重度患者发生钢丝切割脱落,重新改变牵引位置后完成治疗;2例（2侧）复发经再次牵引后矫正。双侧乳头对称,外观、感觉及功能均正常,无瘢痕遗留。结论 采用自制可调式矫正器持续牵引治疗乳头内陷,操作简便,是一种微创无痕、疗效可靠的治疗方式。

Objective To explore the effectiveness of self-made adjustable tractor for correction of inverted nipple. Methods Between March 2005 and March 2011, 37 female patients with inverted nipples （69 nipples） underwent continuous traction with self-made adjustable tractor for 2 to 4 months. The age ranged from 18 to 46 years （mean, 23 years）. Of 37 cases, 5 had unilateral inverted nipple, and 32 had bilateral inverted nipples, including 8 cases （15 nipples） of mild inversion,16 cases （30 nipples） of moderate inversion, and 13 cases （24 nipples） of severe inversion. The 2 cases （4 nipples） recurred after traditional surgical method, and 1 case （2 nipples） had infection because of severe inversion before traction. Results No infection or hemodynamic disorder occurred during traction. All cases were followed up 6-12 months （mean, 8.2 months）.Wound healed after traction in 1 patient （2 nipples） with infection because of severe inversion; 2 recurrent cases （2 nipples） were cured after re-traction; wire dislocation occurred in 1 case （1 nipple）, and was cured after changing traction position. The shape, sensation, and erectile function were normal after treatment with no scar. Conclusion Continuous traction with selfmade adjustable tractor is a good method for all the types of inverted nipple. It is a simple, safe, effective, and minimally invasive method without scar.