经腹外斜肌入路隆乳术

为降低假体置入隆乳术后的纤维包膜挛缩的发生率,自1990年以来采用经乳房下腹外斜肌入路行隆乳术96例,术后随访半年以上者72例;其中67例(93.1%)乳房外观挺拔自然,手感柔软,2例(2.8%)发生单侧乳房硬化。此术式可提供一个完整的肌腔隙将假体完全覆盖,从而可以明显降低纤维包膜挛缩的发生率。

Augmentation mammaplasty through the external oblique muscle route

To reduce the rate of capsule contracture after implantation of the breast prosthesis,aug- mentation mammaplasty through an inframammary incision and the external oblique muscle has been performed in 96 cases since 1990.In 67 of 72 cases (93%),the cosmetic results are satifactory with a nat ural contour and softness of the breast during the follow-up of more than 6 months.The capsule con- tracture rate is 2.8 percent.The advantage of the approach is the muscular coverage of almost the total surface of the implant that contributes to the excellent result and a low capsule contracture rate.This procedure can overcome the disadvantages of the transaxillary augmentation procedure,which is usually difficult in dissecting the origin of the pectoralis muscle at the sixth rib.This technique can also make the inframammary crease lower and improve moderate ptosis of the breast.