[fusion_builder_container background_color=”#f1f1f1″ background_image=”/wp-content/uploads/2015/03/drops-on-leaf-wallpaper-1024×640222.jpg” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0px” padding_right=”0px” hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”no” menu_anchor=”” class=”” id=”op-top-banner”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]

莢膜清除術Total Capsulectomy

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0″ padding_right=”0″ hundred_percent=”no” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]此手術是用來解決嚴重（四度）莢膜孿縮問題的最有效方式，其原理就是將已經孿縮增厚的莢膜連同義乳整個摘除，讓內部空間回歸到如初次手術般的寬鬆與柔軟，再更換新的義乳植入。手術的方式可以從腋下，乳暈或胸下緣切口進行，首先運用內視鏡與電燒刀將肥厚的莢膜與正常乳房組織做360度的剝離，將整個莢膜連同原有義乳完整取出體外，並以電燒刀清除殘留的纖維化疤痕組織並撥離出新的空間，最後再植入新的義乳即可完成手術。此法的優點是能夠徹底根除反覆性或頑固性莢膜組織，讓乳房的皮膚得以重新恢復彈性，不受任何殘存莢膜或疤痕的影響，增加手術的成功機率。而缺點則是手術時間冗長且複雜，術中與術後的出血量可能較多，恢復期也隨之拉長，讓術後照護的變數增加，另外乳房皮膚可能因莢膜切除後變得更加鬆弛與單薄，對於某些條件不佳或多次手術患者恐怕會造成乳房下垂或義乳邊緣皺褶等觸感問題，因此多必須更換較大的義乳來支撐乳房組織。[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”yes” overflow=”visible” margin_top=”20px” margin_bottom=”20px” background_color=”rgba(255,255,255,0)”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_separator style_type=”none” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” class=”” id=””/][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0″ padding_right=”0″ hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]

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手術內容

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手術時間

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麻醉方式：全身麻醉
手術切口：原切口或腋下, 乳暈或胸下緣任一處
恢復期：5~7天
拆線：10~14天

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注意須知

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手術前需禁食與水

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須暫時置放引流管以導引血水
一個月內需避免手臂過度使力或運動
術後三個月內須禁菸或服用含Vit-C成分之食品以避免刺激莢膜的增生
術後三個月內禁止穿著硬鋼絲或集中型胸罩
乳房按摩至少須持續6個

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適應對象

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第三至四度的嚴重莢膜孿縮患者
乳房明顯變形或變硬者（石頭奶）
曾因前次手術的出血或發炎而導致乳房變硬者
義乳可能有潛在性感染疑慮者
多次手術或頑固性孿縮者

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可能併發症

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血腫
感染
疤痕沾黏
義乳滲漏或破裂
乳房高低邊
莢膜再生
乳頭不敏感
義乳滲漏或破裂

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手術優點

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手術效果立即可見
莢膜徹底被根除，有效降低日後復發之機率
免除感染性莢膜的疑慮
同時放大撥離之空間，讓乳房皮膚重拾彈性
術後按摩較容易維護且穩定
可重新決定義乳的尺寸與樣式植入

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手術缺點

手術範圍較廣泛且複雜，術後恢復較慢
手術時間長，從原傷口進行手術較易發生疤痕沾黏問題
術後較易出血或腫脹，須留置引流管導引血水
術後皮膚可能變薄或鬆弛
須加大義乳尺寸以支撐莢膜取出後的乳房組織

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可合併手術

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莢膜切開與莢膜清除術之比較

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	莢膜切開術	莢膜清除術
適應對象	輕度至中度（二至三度）孿縮患者、單側變硬或不對稱者	中至重度（三至四度）孿縮患者、乳房嚴重變形或變硬者、多次孿縮者
手術方式	莢膜切開，原義乳可保留	莢膜與義乳完全清除，須更換新的義乳
手術性質	原位重做	原位重做
手術範圍	多單側手術	單側或雙側手術
手術時間	1~1.5小時（單側）	3.5~4小時（雙側）
麻醉方式	舒眠或全身麻醉	全身麻醉
義乳尺寸	可維持原尺寸	多須加大尺寸
術中出血	少	較多
術後疼痛	低	稍高
導血管留置	可以不用	必須
術後恢復	快	較慢
皮膚鬆弛	輕微	較明顯
莢膜復發	可能	較低
術後按摩	必須	必須

手術成果

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