改良乳头内陷矫形器对Ⅱ、Ⅲ型乳头内陷的疗效评价

Therapeutic effect evaluation of the modified nipple orthotic device in the treatment of type Ⅱ and Ⅲ inverted nipple

目的探讨一种保留哺乳功能的微创矫正乳头内陷的方法,并观察其临床效果。方法2013年1月至2017年12月湖南省人民医院乳腺甲状腺外科收治Ⅱ、Ⅲ型乳头内陷患者96例,通过自制改良乳头内陷矫形器进行治疗。随访7个月至5年,观察乳头矫正效果及哺乳功能。结果87例乳头内陷矫正评价为好,效果稳定,且不影响哺乳功能;2例Ⅱ型、3例Ⅲ型乳头内陷,评价为中等,乳头轻度回缩;4例佩戴时间均不到1个月,治疗效果欠佳。结论改良乳头内陷矫形器,适用于Ⅱ、Ⅲ型乳头内陷患者,是一种简单有效的微创治疗方法。

Objective To investigate the clinical application and efficacy of treatment in inverted nipple with a kind of lactation function preserved method of minimally invasive surgery.Methods 96 patients with typeⅡand typeⅢinverted nipple admitted by our hospital from January 2013 to December 2017 were selected for treatment by modified self-made nipple orthotic device.Following up 7 months to 5 years to observe the effect of nipple correction and lactation function.Results 87 cases of the patients received satisfactory therapeutic effect,and the lactation function was not affected;2 cases of typeⅡand 3 cases of typeⅢinverted nipple were evaluated as medium,with mild nipple retraction;4 cases were worn for less than 1 month,and the outcome was poor.Conclusions The modified nipple orthotic device is suitable for typeⅡandⅢpatients with inverted nipple,which is simple and effective method in nipple inversion.