摘要
目的探讨保留主乳腺导管的微小切口乳头凹陷矫正方法。方法 2006年1月至2019年3月, 北京大学第三医院成形外科收治乳头凹陷女性患者35例(63侧), 年龄20~33岁, 平均25.2岁。在牵拉出凹陷乳头根部周围乳晕区行微小放射状切口, 不切除皮肤, 彻底分离松解、切断引起乳头凹陷缩短的纤维束, 保留主乳腺导管, 在乳头颈基底周围行牢固的环形荷包缝合, 自制乳头保护支撑器, 将乳头牵拉悬吊2~6个月。结果 35例患者63侧乳头凹陷获得满意的矫正效果, 无乳头缺血坏死。1例术后3周一侧出现轻度红肿, 经换药对症治疗后红肿消退。平均随诊39个月, 拆除乳头保护支撑器, 2侧(2/63)有一定程度复发, 其余乳头形态理想, 无明显瘢痕, 乳头感觉较好, 保留哺乳功能。结论保留主乳腺导管的微小切口乳头凹陷矫正手术微创安全、痛苦小、同时保留哺乳功能, 临床效果满意, 特别适合Ⅰ、Ⅱ型乳头凹陷的矫正。
Objective To discuss the procedure for correction of inverted nipple using tiny inci-sion with primary breast ducts reserved.Methods A total of 35 patients(63 sides)with primary in-verted nipples from January 2006 to March 2019 were reviewed retrospectively.Tiny radial incisions were made on the areola around the base of the inverted nipple which had been pulled out.Without skin removed,shorten fiber bundles which caused nipple inverted were totally cut and released.While the primary breast ducts were preserved,purse-string suture was taken around the base of the nipple.The nipple protector was prepared by ourselves,and the nipple was pulled and suspended for 2-6 months.Results Sixty-three sides of 35 patients with inverted nipples were successfully corrected by this minimally invasive surgery.There was no nipple necrosis.One patient developed mild swelling 3 weeks after operation,and the swelling subsided after symptomatic anti-inflammatory treatment.The average follow-up period was 39 months.After removing the nipple protector,2 sides(2/63)had a certain degree of recurrence.The rest of the nipples had ideal shape,no obvious scar,good nipple feeling,and retained the possibility of lactation.Conclusions The procedure for correction of inverted nipple using tiny incision with primary breast ducts reserved has advantages of minimal invasion,safe-ty,less pain,while retaining the possibility of lactation in the future.The clinical effect is satisfacto-ry.It is especially suitable for the correction of type I and type II inverted nipples.
作者
夏有辰
李比
马建勋
邹力君
Xia Youchen;Li Bi;Ma Jianrun;Zou Lijun(Department of Plastic Surgery,Peking University Third Hospital,Beijing 100191,China;Department of Breast Surgery,the First People's Hospital of Pingdingshan,Pingdingshan 467000,China)
出处
《中华医学美学美容杂志》
2023年第3期171-173,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
乳头
乳头凹陷
环形荷包缝合
乳腺导管
矫正
Nipples
Inverted nipple
Purse-string suture
Breast ducts
Correction
