旋转-包埋瓣技术矫治中重度乳头内陷的疗效评价

EFFECTIVENESS OF ROTATION-EMBEDDING TECHNOLOGY FOR TREATMENT OF MODERATE TO SEVERE INVERTED NIPPLES

目的探讨旋转-包埋瓣技术矫治中、重度乳头内陷的临床疗效。方法 2012年3月-2014年3月,采用旋转-包埋瓣技术治疗24例（39只）中、重度先天性乳头内陷患者。年龄28-42岁,平均32岁。单侧9例,双侧15例。重度内陷30只乳头,中度内陷9只乳头。1例患者曾于外院行双侧乳头矫正术,其余均为初次手术。结果 24例手术均顺利完成。术后切口均Ⅰ期愈合,无切口红肿、流血、裂开及乳头血运障碍等现象发生。患者均获随访,随访时间5-24个月,平均12个月。患者乳头轮廓和突度满意,双侧乳头基本对称,随访期间无乳头再次内陷,乳头皮肤感觉无异常。结论旋转-包埋瓣技术能有效矫治中、重度乳头内陷。

Objective To investigate the effectiveness of rotation-embedding technology for treatment of moderate to severe inverted nipples. Methods Between March 2012 and March 2014, 24 patients（39 nipples） with moderate to severe inverted nipples were treated using rotation-embedding technology. The age ranged from 28 to 42 years（mean, 32 years）. The bilateral nipples involved in 15 cases, unilateral nipple in 9 cases, including 30 moderate inverted nipples, 9 severe inverted nipples. The first time operation was performed in the other patients except 1 patient who had received corrective operation of bilateral nipples. Results The operation was successfully performed in all patients; primary healing of incision was obtained; no swollen, bleeding, dehiscence, or blood flow obstacle occurred. All patients were followed up 5-24 months（mean, 12 months）. The shapes of nipples were satisfactory; bilateral nipples were symmetrical basically; no nipple inversion recurred, and the nipple skins had good sensation. Conclusion Using rotation-embedding technology can correct moderate to severe inverted nipples effectively.