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内镜辅助下腋窝切口乳腺后间隙隆乳术
引用本文:郭金才,吴溯帆,石杭燕,严晟,陈达.内镜辅助下腋窝切口乳腺后间隙隆乳术[J].中华整形外科杂志,2008,24(2):133-135.
作者姓名:郭金才  吴溯帆  石杭燕  严晟  陈达
作者单位:浙江省人民医院整形外科,杭州,310014
摘    要:目的 减少常规隆乳术中因盲视分离对组织的损伤及术中出血,探讨在内镜辅助下经腋窝切口行乳腺后间隙隆乳术的可能性.方法 2005年以来,在内镜下经腋窝切口行乳腺后间隙隆乳术27例,术中出血显著减小,并大为减轻钝性分离的创伤.结果 27例术后除1例发生切口部分愈合不良外,均无血肿、血清肿及感染发生.16例术后随访6个月~1年,1例发生Baker分级Ⅱ度假体纤维包膜囊挛缩硬化,其余手感良好,外形满意.结论 内镜下隆乳术可降低对麻醉的要求,有效控制术中出血,减少术中创伤,便于置入假体的准确定位,减轻术后疼痛.

关 键 词:内镜  隆乳术

Endoscope assisted transaxillary subglandular breast augmentation
GUO Jin-cai,WU Su-fan,SHI Hang-yan,YAN Sheng,CHEN Da.Endoscope assisted transaxillary subglandular breast augmentation[J].Chinese Journal of Plastic Surgery,2008,24(2):133-135.
Authors:GUO Jin-cai  WU Su-fan  SHI Hang-yan  YAN Sheng  CHEN Da
Institution:Department of Plastic and Reconstructive Surgery, Zhejiang Provincial People's Hospital, Hanhzhou 310014, China.
Abstract:OBJECTIVE: To investigate the feasibility of endoscope assisted transaxillary subglandular breast augmentation in order to minimize the bleeding and tissue injury. METHODS: Since 2005, 27 patients underwent endoscope assisted transaxillary subglandular breast augmentation. Intraoperative bleeding and dissection injury were markedly decreased. RESULTS: There was no hematoma, seroma and infection except for one case with partial poor incision healing. 16 cases were followed-up for six months to one year. Only one case developed fibrous capsular contracture (Baker II). Good results achieved in all the other cases. CONCLUSIONS: Endoscope assisted breast augmentation can reduce the pain, bleeding and tissue injury. It can also help to put implants to right position.
Keywords:Endoscope  Breast augmentation
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