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充注式乳房假体隆乳术在我国已较广泛开展,但其手术方式、麻醉方法和术中术后处理等方面,仍有许多可探讨之处。为此,作者对61例121侧小乳症、轻度乳房萎缩、乳房下垂症等行充注式乳房假体隆乳术。术中采用腋顶皱襞切口,胸大肌下间隙置入,封闭式灌注加适量抗生素的生理盐水,放置负压引流术后穿紧身衣。改用肋间神经阻滞麻醉,加静脉内麻醉,效果良好、安全,受术者术后无痛苦记忆,使隆乳术更趋完善。61例受术者中55例外形满意、柔软、感觉良好,2例2侧乳头和乳房外侧象限有早期感觉减退,3例乳房假体位置偏高,1例因伴乳房下垂外形欠佳。作者认为,腋顶切口,封闭式灌注加有抗生素的生理盐水,术后引流及改良的麻醉方法,值得推荐。
Filled breast augmentation breast augmentation has been more widely carried out in our country, but its surgical methods, anesthesia and intraoperative and postoperative treatment, there are still many to explore. To this end, the author of 61 cases of 121 cases of small breast milk, mild breast atrophy, breast ptosis and other line breast augmentation breast implants. Surgery with axillary folds incision, pectoralis major gap into the closed perfusion plus appropriate amount of antibiotics in saline, placed negative pressure drainage after wearing tights. The use of intercostal nerve block anesthesia, plus intravenous anesthesia, the effect is good, safe, no pain after surgery by patients with memory, so that augmentation surgery more perfect. In 61 cases, 55 cases were satisfactory in appearance, soft and good in feeling. Early 2 cases of 2 lateral nipples and lateral quadrant of the breast had hypodermisal sensation, 3 cases had high position of breast prosthesis and 1 had poor appearance due to breast sagging. The authors believe that axillary incision, closed infusion with antibiotics in saline, postoperative drainage and improved anesthesia, it is recommended.