北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 成形外科  > 期刊论文
学科主题: 整形医学
题名:
术中即时超量扩张技术在内镜辅助隆乳术中的应用
其他题名: Clinical application of intraoperative sustained skin and soft-tissue expansion in augmentation mammaplasty using transaxillary approach with endoscopic assistance
作者: 陈育哲; 谢祥; 曲琦; 许雅娟; 李东
关键词: 组织扩张器 ; 术中即时超量扩张 ; 内镜 ; 隆乳术 ; Skin and soft-tissue expansion ; Intraoperative sustained expansion ; Endoscopy ; Augmentation mammaplasty
刊名: 中华医学美学美容杂志
发表日期: 2012
DOI: 10.3760/cma.j.issn.1671-0290.2012.06.005
卷: 18, 期:6, 页:413-415
收录类别: 中国科技核心期刊
文章类型: Journal Article
摘要: 目的 探索在内镜辅助剥离下隆乳术中先置入扩张器进行即时超量注水扩张,完成后再置换假体的隆乳术方法及临床效果.方法 按照术前设计,腋下入路在内镜辅助下完成双平面剥离后,置入乳房假体前预先置入组织扩张器,注入生理盐水至术前预定假体的容量,观察注水后扩张器大小和位置并调整至合适程度,调整后注水量作为选择假体体积的参考.在此基础上继续即时超量注水至2倍体积,保持扩张30~60 min后,取出扩张器,置入乳房假体,完成手术.结果 120例,术后除3例早期出现血清肿后自然吸收,2例位置不佳进行Ⅱ期调整,1例出现包膜挛缩经修复后好转外,其余通过半年至2年随访,均表现为手感、动感自然,外形和谐对称,满意率达95%.结论 隆乳手术中预先置入扩张器以便进行位置调整,可以避免置入假体后再做调整对假体有损伤,可以通过增减注水量使两侧乳房大小对称,预估最后采用假体的体积,尤适用于两侧乳房不对称患者.有减轻隆乳患者术后乳房胀痛、改善乳房外形和手感的效果. Objective To evaluate the results of prosthesis augmentation,relieve suffering patient experience,improve shape and touch of breast.Methods According to design,in dual-plane mammaplasty transaxillary approach with endoscopic assistance,we used soft-tissue expansion before prosthesis,saline volume in expander was the same as prosthesis size at beginning; adjusting expander volume and position,then determined prosthesis size according to expander volume lastly.after intraoperative sustained expansion for 30 to 60 minutes twice prosthes volume,replace expander with prosthesis.Results This method was applied in 120 patients,showing that pain significantly reduced after expansive without use of analgesia pump; complications included that 3 patients appeared seroma and absorbed soon; 2 patients had poor prosthese location,which was adjusted in reoperation; one capsular contracture was repaired later.After 6-months to 2-years follow-up,the results showed that breast was nature and dynamic; satisfactory rate reached to 95 %.Conclusions In augmentation mammaplastic operation,pre-adoption of an expander can make it easy to adjust the location of prosthesis,to avoid being injured and to determine prosthesis volume by expander injection of saline volume,especially for patient with different size of both breasts.
语种: 中文
原文出处: 查看原文
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/68560
Appears in Collections:北京大学第三临床医学院_成形外科_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 100038,北京大学第三医院成形外科

Recommended Citation:
陈育哲,谢祥,曲琦,等. 术中即时超量扩张技术在内镜辅助隆乳术中的应用[J]. 中华医学美学美容杂志,2012,18(6):413-415.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[陈育哲]'s Articles
[谢祥]'s Articles
[曲琦]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[陈育哲]‘s Articles
[谢祥]‘s Articles
[曲琦]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace