摘要
目的探讨不同入路行双平面假体隆乳术的效果。方法回顾性分析2020年1月—2023年1月新乡市中心医院收治的629例行双平面假体隆乳术患者的临床资料,按其手术入路的不同将其分为2组,其中经乳晕入路行手术的329例患者纳入对照组,经腋窝入路行手术的300例患者纳入观察组,术后均随访6个月。对比2组手术相关指标、乳房形态变化、隆胸效果、并发症。结果观察组切口愈合时间[(7.30±1.25)d]短于对照组[(9.21±1.69)d],并发症发生率(1.67%)低于对照组(4.86%),差异有统计学意义(P<0.05)。2组术中出血量、手术时间、住院时间、术后数字评分法(numeric rating scale,NRS)评分、隆胸效果相比,差异无统计学意义(P>0.05)。术前、术后2组乳头-乳房下皱襞的经皮距离(nipple to inframammaryfold,N-IMF)、胸骨切迹-乳头距离(sternal notch to nipple,S-N)、乳头-正中线距离(nipple to midline,N-M)、乳房总体积相比,差异无统计学意义(P>0.05)。结论经乳晕入路、经腋窝入路行双平面假体隆乳术均能够取得优良的隆胸效果,但经腋窝入路行手术更能够促进切口愈合,降低并发症发生率。文章的研究结果为临床后期选择双平面假体隆乳术的入路提供了借鉴内容,具有一定的运用价值。
Objective To explore the effects of different approaches for biplane breast augmentation surgery.Methods A retrospective analysis was conducted on the clinical data of 629 patients with biplane breast augmentation surgery admitted to Xinxiang Central Hospital from January 2020 to January 2023,and were divided into two groups according to their different surgical approaches.Among them,a total of 329 patients who underwent surgery through the areola approach were included in the control group,and a total of 300 patients who underwent surgery through the axillary approach were included in the observation group.All patients were followed up for 6 months after surgery.Two groups of surgical related indicators,changes in breast morphology,breast augmentation effects,and complications were compared.Results The healing time of the incision in the observation group[(7.30±1.25)d]was shorter than that in the control group[(9.21±1.69)d],and the incidence of complications(1.67%)was lower than that in the control group(4.86%),and the incidence of complications was lower than that in the control group,with a statistical difference(P<0.05).There was no statistically significant difference between the two groups in terms of intraoperative bleeding volume,surgical time,hospital stay,postoperative numerical rating scale(NRS)score,and breast augmentation effect(P>0.05).Before and after surgery,there was no statistical difference in the nipple to inframammary fold(N-IMF),sternal notch to nipple(S-N),nipple to midline(N-M),and total breast volume between the two groups(P>0.05).Conclusion Both the areolar and axillary approaches for biplane breast augmentation can achieve excellent breast augmentation results.However,the axillary approach can promote incision healing and reduce the incidence of complications.The research results of this article provide reference content for the selection of an approach for biplane breast augmentation in clinical practice,and have certain practical value.
作者
董远
冯跃庆
DONG Yuan;FENG Yueqing(The Fourth Clinical College of Xinxiang Medical University,Xinxiang He’nan 453000,China;Department of Surgical Oncology,Xinxiang Central Hospital,Xinxiang He’nan 453000,China)
出处
《中国卫生标准管理》
2024年第1期27-30,共4页
China Health Standard Management
关键词
双平面假体隆乳术
并发症
腋窝入路
乳晕入路
术中出血量
乳房形态
biplane implant breast augmentation surgery
complications
axillary approach
areola approach
intraoperative bleeding volume
breast morphology
