两性畸形患者的隆乳术探讨

Exploration of the breast augmentation surgery for hermaphroditism patients

目的探讨女性假两性畸形患者在进行隆乳手术时，患者的心理状况以及手术操作的特点。方法所有患者均在全身麻醉下选用腋窝皱襞切口（3～5cm）经胸大肌下间隙置入合适的硅凝胶假体，术后给予抗感染及止血治疗，胸部适当加压固定包扎。结果全部22例患者中，21例女性假两性畸形患者对术后效果满意；1例患者双侧假体均出现不同程度上移，患者再次入院接受二次手术重新固定假体后效果满意。结论考虑到两性畸形患者特殊的心理特点以及他们的各种生理特点，术者采取腋窝皱襞切口经胸大肌下间隙置人硅凝胶假体隆乳术。因为切口隐蔽，操作上相对安全，术后并发症少，值得在临床上推广使用。

Objective To explore the psychological status of patients and the characteristics of the surgical procedure when female pseudohermaphroditism patients undergo breast augmentation. Methods Through the axillary incision （3-5 cm）, all patients were performed breast augmentation by implanting the silicone prosthesis in the subpectoral interspace under general anesthesia. All patients were given anti-infection and hemostatic therapies after operation with fixation and appropriate compression dressing to the chests. Results Of all the 22 patients, 21 female pseudohermaphroditism patients were satisfied with the operation outcomes except for one patient with bilateral implants moving upwards at different degrees which was satisfied by re-fixing prosthesis. Conclusion Based on the special psychological characteristics of hermaphroditism patients and their various physiological characteristics, It is better for the patients to take the breast augmentation through axillary incision by implant silicone prosthesis in the subpectoral interspace, because of concealed incision, relatively safe operation and few postoperative complications, it is worth spreading in clinic.