双荷包埋线结扎法矫正乳头内陷

目的介绍一种方法简便、创伤小、效果确切、矫正轻度和重度乳头内陷的新方法。方法受术者平卧位，以患侧乳头为中心，分别画直径为2．5、3．5cm 2个圆，常规消毒后，在局部浸润麻醉下，先在内、外圆弧上各做1个0．3cm长小切口，再沿内、外圆皮下分别埋置4号、7号丝线各1条，然后在乳头中央不同层次“十”字贯穿缝合，2条牵引线提起内陷的乳头，再分别将7号、4号线收紧打结，注意不能太紧，然后用5-0丝线将切口各缝1针，术毕。术后7d拆线，3个月内不能挤压乳头。结果用此法共矫正56例，受术者乳头、乳晕感觉良好，形态满意，不影响哺乳。结论造成原发性乳头内陷的主要原因是乳头乳晕的平滑肌发育不良，乳头下缺乏足够的组织支撑所致。采用双荷包埋线结扎法矫正乳头内陷，既加强了乳头根部组织的支撑力，又封闭了乳头回缩的空间腔穴；既使乳头外形美观，又不影响哺乳功能。手术方法简便，创伤少，不损伤正常组织，康复快，术后效果确切。

Rectification of inverted nipple by double buried purse-ring suture

Objective To introduce a simple, effective and less wounded approach to rectify an inverted nipple. Methods Patients lian down in a horizontal position, two circles were drawm in diameters of 2.5 cm and 3.5 cm, respectively, in the centre of nipple. Routine disinfection and local anaesthesia were performed, a small incision in 0.3 cm was cut around inner and outer circular arc each, and then # 4 and # 7 threads were buried, respectively, under inner and outer cycles of skin. The inverted nipple was lifted by crossing those two threads, tying # 4 and # 7 thread (not so strong), and finally incisions were sewn by 5.0 thread. 7 days later, stitches were removed but no extrusion done within 3 months after surgery. Results Lactation was normal, and nipple and mammary areola were satisfied by patients. Conclusion The main cause of inverted nipple is imbalance growth for nipple and mammary areola muscle, and lack of tissue to support under nipple. Using double buried purse-ring suture, it is not only strong the nipple root, and block the gap when nipple is retracting, but also make nipple be beautiful and does not affect lactation. It is an easy and useful operation, with less damage to normal tissues and quick recovery.