改良乳晕真皮瓣沉降技术矫正中重度乳头内陷的临床疗效

摘要

Objective To investigate the effectiveness of improved areola dermal flap subsiding technology for treatment of moderate to severe inverted nipples.Methods From September 2011 to September 2016,36 patients (59 nipples) with moderate to severe inverted nipples were treated using improved areola dermal flap subsiding technology.The age ranged from 21 to 45 years.The unilateral nipples involved in 13 cases,bilateral nipple in 23 cases.Results All the operations were successfully performed.The primary healing of incision was obtained.The intraoperative inverted nipple correction rate was 100％.No swollen,bleeding,infection,or blood flow obstacle occurred.All cases were followed up 6-30 months.The shapes of nipples were satisfactory.No nipple inversion recurred,and bilateral nipples' shape and feeling were symmetrical except 2 severe inverted nipples (3.4％) appear mild sensory disturbance in early period and recovered in six months.Conclusion Application of improved areola dermal flap subsiding technology can effectively cure moderate to severe inverted nipples.Compare to traditional methods,improved areola dermal flap subsiding technology can afford better nipple supporting,less local damage and scar hypertrophy.%目的 评价改良乳晕真皮瓣沉降技术治疗中重度乳头内陷的临床效果.方法 收集2011年9月～2016年9月四川大学华西医院采用改良乳晕真皮瓣沉降技术治疗中、重度先天性乳头内陷患者36例(59只).观察患者术后的临床疗效.结果 36例患者手术均顺利完成,术中乳头内陷矫正率100％.术后切口均Ⅰ期愈合,无切口红肿、出血、感染及乳头血运障碍等发生.患者均获随访,随访时间6～30个月.患者乳头轮廓和突度满意,未见乳头回缩及内陷,双侧乳头外形基本对称,2只重度内陷的乳头(3.4％)早期出现轻度感觉障碍,术后6个月逐渐恢复,其余感觉基本一致且无异常感觉.结论 改良乳晕真皮瓣沉降技术能有效矫治中、重度乳头内陷.改良法相对于传统方法具有对乳头支撑好,损伤小和瘢痕轻的优势.