绕乳头基底乳晕纵切口结合肿胀麻醉隆乳术.docVIP

绕乳头基底乳晕纵切口结合肿胀麻醉隆乳术[摘要]目的:探讨绕乳头基底乳晕纵切口结合肿胀麻醉隆乳术的操作技巧及此方法的优点。方法:对我科39例腋下切口、15例乳房皱襞下切口、27例乳晕下缘弧形切口及35例绕乳头基底乳晕纵切口结合肿胀麻醉的116例隆乳患者的疗效及患者满意度进行比较。结果:采用绕乳头基底乳晕纵切口患者的疗效及满意度最高。结论:绕乳头基底乳晕纵切口结合肿胀麻醉是理想的隆乳术式,手术创伤小,切口隐蔽,易于操作,术后患者恢复快,形态好。 [关键词]隆乳术;乳晕;切口 [中图分类号]R622 [文献标识码]A [文章编号]1008-6455(2010)08-1120-03 Application of nipple margin vertical incision of the areola with tumescent anesthesia in augmentation mammaplasty XU Kai, ZHOU Long, KONG Sheng-sheng (Department of Plastic Surgery,Wuhan General Hospital of Guangzhou Command,Wuhan 430070,Hubei,China) Abstract: Objective To study the handing skill and forte of breast augmentation of nipple margin vertical incision of the areola by tumescent anesthesia. Methods To compare with curative effect and satisfaction degree to 116 cases breast augmentation of using different incision with tumescent anesthesia. There was 39 cases of armpit incision, 15cases of inframammary fold incision, 27cases inferior incision of areola of breast and 35 cases areola vertical incision.Results The curative effect and satisfaction degree of patient using areola vertical incision was the highest. Conclusion Nipple margin vertical incision of the areola with tumescent anesthesia is a very nice operative method for breast augmentation,operation wound is small,incision isn’t easy been found, the method is easy to operate, postoperative shape is nice and convalescence is short. Key words: breast augmentation; areola; incision 隆乳术是整形美容常见手术,其切口部位分为腋下、乳房下皱襞、乳晕及腋前线切口,腋下切口和乳晕切口为常用切口,其中乳晕切口多为乳晕边缘弧形切口,绕乳头基底乳晕纵切口鲜有报[1],我科近年来采用此切口结合肿胀麻醉行隆乳术收到很好的临床效果,深受患者的好评。 1临床资料 我科自2003年以来采用肿胀麻醉行隆乳术116例,其中39例采用腋下切口,15例采用乳房皱襞下切口,27例采用乳晕下缘弧形切口,35例采用绕乳头基底乳晕纵切口。 2手术方法 2.1 麻醉方法:配肿胀液:2%利多卡因20～25ml,400～500ml生理盐水,0.4～0.5ml 1:10万盐酸肾上腺素。 2.2 腋下、乳房下皱襞、乳晕边缘弧形切口为常用选择切口,手术方法可参阅《整形外科学》[2]。 2.3 绕乳头基底乳晕纵切口设计:乳晕垂直直径,乳头部切口为乳头内侧基底半弧形。 2.4 麻醉步骤:在乳房下皱襞外侧取一个点(乳房下皱襞水平线与腋前线的交点)用5ml注射器行局部麻醉,浅层注射成皮丘,深层到肋骨表面;用尖刀片在皮丘处切一个2mm切口(如图1),用眼科剪在皮下稍许分离,再用直径2～3mm的多孔粗针从此切口沿肋骨表面在设计好