内窥镜辅助下双平面假体隆乳术与传统假体隆乳术的效果对比

Comparison of Effects of Endoscopic-assisted Dual-plane Augmentation Mammaplasty and Traditional Augmentation Mammaplasty

目的:分析比较内窥镜辅助下双平面假体隆乳术与传统假体隆乳术的应用效果。方法:选取2020年1月-2021年6月笔者医院行假体隆乳术的80例就医者为研究对象,采用随机数表法分为观察组和对照组各40例,两组均常规进行术前准备,在此基础上,对照组行经腋路传统假体隆乳术,观察组行内窥镜辅助下经腋路双平面假体隆乳术,比较两组就医者手术相关指标、围术期应激反应指标、手术效果、术后并发症发生情况及就医者满意度。结果:观察组就医者手术时间长于对照组,术中出血量少于对照组,术后镇痛时间、留置引流管时间及术后住院时间均短于对照组,且两组比较差异均有统计学意义(P<0.05);术后1 d,观察组去甲肾上腺素(Norepinephrine,NE)、肾上腺素(Epinephrine,E)、多巴胺(Dopamine,DA)及C反应蛋白(C-reactive protein,CRP)水平均明显低于对照组(P<0.05);观察组优良率92.50%高于对照组的75.00%,两组比较差异有统计学意义(P<0.05);观察组术后并发症总发生率为2.50%,低于对照组的15.00%,两组比较差异有统计学意义(P<0.05);观察组就医者术后乳房形态、乳头乳晕感觉、乳房下垂改善程度、假体边缘可见度及双上肢活动情况评分均高于对照组,两组比较差异有统计学意义(P<0.05),两组乳房柔软度评分比较差异无统计学意义(P>0.05)。结论:与传统隆乳术比较,应用内窥镜辅助下经腋路行双平面假体隆乳术具有更明显的优势,更有利于术者操作,该术式可缓解就医者围术期应激反应,且术后效果更好,并发症更少,乳房形态更自然,就医者满意度更高,值得推广应用。

Objective To analyze and compare the application effects of endoscopic-assisted dual-plane augmentation mammaplasty and traditional augmentation mammaplasty.Methods 80 patients who underwent augmentation mammaplasty in the author's hospital between January 2020 and June 2021 were selected as the study subjects.The patients were divided into observation group and control group according to the random number table method,with 40 cases in each group.Both groups were given routine preoperative preparation,and on this basis,the control group underwent transaxillary traditional augmentation mammaplasty,and the observation group adopted endoscopic-assisted transaxillary dual-plane augmentation mammaplasty.The related surgical indicators,perioperative stress response indicators,surgical results,occurrence of postoperative complications and patient satisfaction were compared between the two groups.Results The surgical time of observation group was longer than that of control group,and the intraoperative blood loss was less than that of control group,and the postoperative analgesia time,indwelling drainage tube time and postoperative hospital stay were shorter than those of control group(P<0.05).At 1 d after surgery,the levels of norepinephrine(NE),epinephrine(E),dopamine(DA)and C-reactive protein(CRP)in observation group were significantly lower than those in control group(P<0.05).The excellent and good rate of 92.50%in observation group was higher than 75.00%in control group(P<0.05).The total incidence rate of postoperative complications was 2.50%in observation group,which was lower than 15.00%in control group(P<0.05).The scores of postoperative breast shape,nipple areola sensation,breast ptosis improvement,prosthesis edge visibility and activities of upper limbs were all higher in observation group than those in control group(P<0.05),and there was no statistically significant difference in the score of breast softness between the two groups(P>0.05).Conclusion Compared with traditional augmentation mammaplasty,the application of endoscope-assisted transaxillary dual-plane augmentation mammaplasty has more obvious advantages,and it is more conducive to the operation of the surgeon,and the latter one can better relieve the perioperative stress response of patients,and has better postoperative effects,fewer complications,more natural breast shape and higher patient satisfaction,therefore it is worthy of promotion and application.