矫正器法乳头内陷矫正术后血运障碍的研究

摘要

目的 研究矫正器法乳头内陷矫正术后乳头血运障碍的临床表现、分级及对策.方法 收集2014年10月至2016年10月43例患者81侧行矫正器法乳头内陷矫正术后乳头局部血运障碍症状、处理对策及转归资料,分析归纳出乳头血运障碍临床分级理论.结果 术后乳头血运障碍根据临床表现分为3级,发生率为:Ⅰ级13.58％ (11/81),Ⅱ级11.11％ (9/81),Ⅲ级2.47％(2/81).血运障碍Ⅱ、Ⅲ级伤口,经换药7～34 d(平均15 d)后伤口全部愈合.结论 矫正器法乳头内陷矫正术后血运障碍分级理论对临床观察、处理及预后预测有很重要的指导作用.%Objective This research studied the clinical manifestation,classification and countermeasure of nipple ischemia after the corrective surgery of congenitally inverted nipples using a tractor.Methods From October 2014 to October 2016,the symptoms,treatments and outcomes of postsurgical nipple ischemia (n =81) of 43 patients were collected and analyzed to propose a clinical classification theory.Results This theory divided nipple ischemia into 3 categories of incidence:Grade Ⅰ at 13.58％ (11/81),Grade Ⅱ at 11.11％ (9/81),and Grade Ⅲ at 2.47％ (2/81).After changing dressing for 7-34 days (the average of 15 days),all Grade Ⅱ and Ⅲ wounds healed eventually.Conclusions The clinical classification theory of nipple ischemia can provide significant guidance for clinical observations,treatments and prognosis.