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脂肪抽吸联合腋下小切口治疗腋下副乳腺

liposuction plus axillary small incision surgery for treatment of accessory breast

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目的:探讨脂肪抽吸联合腋下小切口治疗腋下副乳腺手术的可行性。方法:本科2009年1月至2011年12月行脂肪抽吸联合腋下小切口手术治疗148例,共256个副乳腺,其中40例患者为单侧,108例为双侧,均为女性,年龄23~48岁。在腋窝手术区域皮下脂肪层内注射肿胀麻醉液,采用负压吸引抽吸该区域内的脂肪组织及副乳腺组织,在腋下局部行2cm皮肤小切口切除余下副乳腺组织。结果:采用脂肪抽吸联合腋下小切口手术成功治疗148例患者共256处副乳腺。术后随访6-12个月。患者均取得良好的手术效果。患者均获得术后切口一期愈合,瘢痕小,外观好。未出现感染、出血、伤口裂开等并发症。结论:采用脂肪抽吸联合腋下小切口手术治疗副乳腺是可行的,手术安全,创伤小,出血少,易操作,术后愈合快,并发症少,外形美观效果比较好。
Objective:To evaluate the feasibility of liposuction plus axil ary smal incision surgery in treating accessory breast. Methods:From January 2009 to December 2011 a total of 256 accessory breasts of 148 female patients were treated in our department. Their age ranged 23 to 48years.Forty patients had unilateral accessory breast and 108 bilateral. Tumesent anAfter tumescent anesthesia injected iesthesia was injected at the subcutaneous fat layer in axil ary surgery area, negative pressure aspiration was performed to suck out the adipose tssue and accessory breast tissue, then the residual accessory breast tissue was removed through a 2 cm smal incision which was made at the axil a. Results:Two hundred and fifty-six accessory breasts of 148 patients were successful y treated with the liposuction plus axil ary smal incision surgery method. The patients were fol owed up for 6-12 months. Good outcome was achieved. Al patients had fast healing, with smal scar and good appearance. No infection, hydrops, bleeding or wound fracture occurred. Only one patient had slight numb in the upper extremity of the affected side, but recovered automatical y about six months later. Conclusion: The method of liposuction plush axil ary smal incision surgery in treating accessory breast is feasible. It is safe and has advantages of easy operation, , minimal y invasive, less bleeding, less complications, fast recovery and good appearance.

accessory breastliposuctiontumescent anesthesiaaxil ary smal incision operation

李新、刘薇

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郑州人民医院 河南 郑州 450003

副乳腺 脂肪抽吸 肿胀麻醉液 腋下小切口手术

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(9)
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