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乳房缩小术与乳房上提术后切口皮脂腺囊肿产生原因及预防

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  • GetLinkListEx(''中国医学科学院整形外科医院乳房整形与再造中心;

网络出版日期: 2020-07-23

Study of Cause and Prevention on the Sebaceous Cysts at the Incision Site after Mastopexy and Reduction Mammaplasty

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  • Center for Mammoplasty and Breast Reconstruction,Plastic Surgery Hospital,Chinese Academy of Medical Sciences,Beijing 100144,China.

Online published: 2020-07-23

摘要

目的探讨乳房缩小整形术及乳房上提术后,切口皮脂腺囊肿的形成原因以及预防措施。方法 2004年5月至2007年5月,接受乳房缩小术及乳房上提术的患者60例,随机分为A、B两组。A组手术中去表皮厚度不超过真皮的1/3厚度,B组切除几乎全层真皮,对比两组术后出现切口皮脂腺囊肿情况。结果术后随访2~4年,A组中有4例术后出现切口皮脂腺囊肿(13.3%),B组中未出现切口皮脂腺囊肿。两组中均无病例出现乳头乳晕血运障碍。结论在乳房缩小整形术和乳房上提术中增加去表皮的厚度,可以减少术后出现切口皮脂腺囊肿的发生率,且不会影响乳头乳晕的血运。

本文引用格式

穆大力,栾杰,穆兰花,刘春军,辛敏强 . 乳房缩小术与乳房上提术后切口皮脂腺囊肿产生原因及预防[J]. 组织工程与重建外科杂志, 2010 , 6(4) : 220 -221 . DOI: 10.3969/j.issn.1673-0364.2010.04.015

Abstract

Objective To investigate the cause and prevention of such sebaceous cysts.Methods Sixty patients undergoing mastopexy or reduction mammaplasty were randomly divided into two groups.Peri-areolar de-epithelialization was performed to a depth of less than one-third of the dermis in group A and nearly the full thickness of the dermis in group B,and the incidence of sebaceous cysts was compared between these two groups.Results Patients were followed-up for 2 to 4 years.In group A,sebaceous cysts at the incision site were found in 4 patients(13.3%);however,no sebaceous cysts occurred in group B.Conclusion Increasing the thickness of de-epithelialization appears to decrease the incidence of sebaceous cysts at the incision site,which would not affect the blood supply to nipple-areola complex.
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