摘要
目的 探讨乳房固定术中真皮帽的意义和必要性。方法采用前瞻性随机对照研究，将双环法乳房固定术124例分为1组和2组，每组62例。1组将乳晕周围双环形切口间皮肤全层切除，2组采用乳晕周围去表皮，保留乳晕周围真皮帽。结果1组手术去皮平均时间每侧为4．5min，2组去表皮平均手术时间每侧为15．8rain。124例术后进行门诊及电话随访，随访时间2周至4年。1组切口全部I期愈合；2组出现切El皮脂腺囊肿或表皮样囊肿，以及切口线结排斥反应8例（12．9％），出现时间为术后3周至1．5年，经过外科处理后愈合。结论在乳房固定术中，切除乳头乳晕周围全层皮肤，可以明显减少术后切口并发症，并缩短手术时间，不会影响乳头乳晕血运。单纯的乳房固定术中去表皮实无太大必要性。
Objective To evaluate the implication and necessity of deepithelialization in mas- topexy. Methods A total of 124 patients with mastoptosis were randomly divided into 2 groups： group I and group Ⅱ , 62 cases each. A double-circle incision technique was used for all the patients. In group I , full thickness skin around nipple-areola was resected. While in group Ⅱ , deepithelialization was performed and the peri nipple-areola dermis was preserved. Results The average full skin resection time was 4.5 minute per side in group I and the skin deepithelialization time was 15.8 minute per side in group Ⅱ Postoperative follow-up was carried out for all the 124 patients with duration of 2 weeks to 4 years. In group Ⅱ , sebaceous cysts, epidermal inclusion cyst and suture knot exclusion were found at the incision site in 8 patients （12. 9 %） at 3 weeks to 1. 5 years after operation. Conelusions The blood supply to the nipple-areola complex is not affected by full-thickness skin removal during mastopexy, while the incidence of complication at the incision site decreases significantly. We conclude that deepithelialization has not much clinical significance in mastopexv.
出处
《中华医学美学美容杂志》
2016年第1期10-12,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
