A comparison of the plastic surgery effects between endoscopic breast augmentation and traditional implant breast augmentation
内窥镜下隆胸整形手术与传统假体植入隆胸术的整形效果对比

摘要

目的 比较内窥镜经腋窝入路隆胸术与传统经假体植入隆胸术的效果。方法 收集2023年1月至2025年1月期间于我院接受假体隆胸术的163份患者资料。根据手术方式分为内窥镜辅助组（观察组）与传统盲视组（对照组）。结果 观察组平均手术时间明显长于对照组，术中平均出血量更低。术后24小时疼痛评分，观察组显著低于对照组。术后6个月，观察组BREAST-Q得分、BASI指数及乳房上极轮廓自然度评分，总并发症发生率更低（P＜0.05）。结论 内窥镜辅助经腋窝入路隆胸术在出血控制、早期疼痛、乳房对称性自然度及降低特定并发症风险方面展现出明显优势。

Abstract

Objective To compare the effects of endoscopic axillary breast augmentation and traditional breast augmentation through prosthesis implantation.
Methods Data of 163 patients who underwent breast augmentation with implants in our hospital from January 2023 to January 2025 were collected. According to the surgical methods, they were divided into the endoscopic-assisted group (observation group) and the traditional blind group (control group).
Results The average operation time of the observation group was significantly longer than that of the control group, and the average intraoperative blood loss was lower. The pain score of the observation group 24 hours after the operation was significantly lower than that of the control group. Six months after the operation, the BREAST-Q score, BASI index and the naturalness score of the upper pole contour of the BREAST in the observation group had a lower incidence of total complications (P < 0.05).
Conclusion   Endoscopic-assisted axillary breast augmentation demonstrates significant advantages in terms of bleeding control, early pain, natural breast symmetry, and reduced risk of specific complications.