【摘要】 目的 改变传统隆乳手术盲视下剥离假体腔隙的方法。采用内窥镜辅助技术,达到对剥离腔隙的精确控制。方法 本组隆乳手术患者189例,年龄22~36岁。手术全部采用腋窝切口入路,通过内窥镜辅助及针刺定位,用电刀对假体腔隙进行精确剥离。结果 所有患者术后均恢复顺利,无出血、感染等早期并发症发生。随访6~24个月,乳房形态自然,除1例双侧包膜挛缩之外,无假体移位、双侧不对称、“双泡样”畸形等并发症发生。结论 采用内窥镜技术结合使用体表穿刺定位的方法,可以十分准确地对乳房假体腔隙进行剥离、定位,且止血确切,可达到对假体隆乳术的精确控制。更多还原

【Abstract】 Objective To explore the results of accurate location in breast augmentation under endoscope instead of dissecting interspace by traditional breast augmentation without endoscope.Methods Trough the transaxillary incision,189 patients aged from 22 to 36 were performed the breast augmentation by position with the puncture guiding technique and interspace dissection with eleotroscalpel under endoscope.Resu Its All patients received a quick recovery postoperatively.The follow-up period was 6 to 24 months with favorable results.All patients had aesthetically natural outcome with the nipple at the most projected part of the breast and without asymmetry,malposition,double bubble deformity.Except for one case with capsular contracture,there were no any complications such as hematoma,malposition and infection.Conclusion The augmentation mammoplasty with endoscope technique and the puncture guiding technique assisted offers more satisfactory clinical results with accurate location of the implant pockets,less haematoma,less possibility of capsular contracture.Precise control of the procedure was achieved.更多还原