楔形真皮乳腺瓣法矫正重度乳头内陷

目的探讨矫正女性重度乳头内陷的手术治疗新方法。方法设计乳晕去表皮楔形真皮乳腺瓣,双侧楔形瓣翻转180°交叉重叠置于乳头基部,以支撑乳头和缩小乳头颈部直径。应用不可吸收的缝线分层严密缝合创口,消除乳头可能回缩的空间,缩窄乳头颈部皮肤。结果2002年7月至2008年12月,采用该方法共治疗35例先天性或复发性重度乳头内陷患者,全部病例术后伤口均愈合良好,无血肿、感染等并发症。术后随访3个月至2年,切口瘢痕不明显,乳头高度及外形满意,无复发。结论楔形真皮乳腺瓣法是矫正重度乳头内陷和术后复发的一种较好的手术治疗方法,尤其对防止乳头内陷的术后复发具有良好效果。

Correction of Severe Nipple Inversion by Using Wedge-Shaped Dermal Corium and Glandular Tissue Flap

Objective To explore a new method for surgical treatment of severe inverted nipple in women. Methods Two opposite wedge-shaped dermal and glandular tissue flaps on both sides of the inverted nipple were designed within the range of areola. The triangular skin was de-epithelialized and two wedge-shaped dermal and glandular tissue flaps were created. The wedge-shaped dermal and glandular tissue flaps on both sides of the inverted nipple were reversed 180 degrees at the base to support the nipple and reduce the diameter of nipple neck. The incision of glandular, subcutis and derma were sutured by using silk suture according to tissue layers. Results 35 cases of congenital or recurrent severe nipple inversion were performed the operation using this method during 2007.7 to 2008.12. There were no complications such as hematoma, infection. All the 35 patients were followed up for 3-24 months. They were satisfied with the appearance of the nipple and no recurrence was observed. Conclusion This method of wedge shaped dermal and glandular tissue flap in the treatment of severe nipple inversion has many advantages, such as safe, conceal incision and a lower recurrence.