摘要
目的:对胸肌筋膜下隆胸术的临床治疗特点和治疗结果进行总结分析。方法:回顾性分析近年在我科进行隆胸的248例患者临床资料及随访结果,比较乳腺下、胸肌筋膜下及胸大肌下三种手术操作的难易程度、术后发生并发症的情况、治疗疗效。结果:乳腺下和胸肌筋膜下手术在置入假体时较为费力,而胸大肌下手术在置入假体时相对容易。术后患者对疼痛感到最重的是胸大肌下置入术,而乳腺下和胸肌筋膜下手术较轻,两者之间相比,无明显差异。胸肌筋膜下手术在术后出现假体移位的几率最低,胸大肌下及乳腺下手术相对较高。术后血肿的发生率在胸肌筋膜下手术最低;术后患者的满意度以胸肌筋膜下置入假体手术最高。结论:胸肌筋膜下置入假体操作虽较繁琐但术后出现并发症少,患者满意度最高。
Objective To investigate the indications of augmentation mammaplasty by the plane inferior to fascia pectoralis and its advantages and short-comings. Methods Summarize 124 cases which received breast prosthetic implantation in our department in the past one year.Compare the degree of difficulty, postoperative complications and cosmetic effects of different methods. Results When stripping the lacune for prosthesis,it is relatively easier to lay the breast prosthesis via the planeinferior to pectoralis major than via the plane inferior to fascia pectoralis or via the plane inferior to mammary gland.When comparing the three methods,it is most difficulty for the surgeon to operate via the plane inferior to pectoralis major.While the post-operative pain appears most severe via the planeinferior to pectoralis major.The postoperative complications,including envelope contraction, hematoma and prosthesis displacement, occurred lest via the plane inferior to fascia pectoralis while the breast appearance showed to be satisfactory. Conclusion It could be an optimal alternative forpatients with some basal mammary gland to undertake breast prosthesis implantation via the plane inferior to fascia pectoralis.
出处
《中国美容医学》
CAS
2013年第18期1834-1836,共3页
Chinese Journal of Aesthetic Medicine
关键词
隆乳术
疗效
胸肌筋膜
适应证
augmentation mammaplasty
healing effech infra-fascia pectoralis
complications
