局部注射肿胀液在全身麻醉下经腋窝切口隆乳术中的应用  

Application of local tumecent technique in breast augmentation by transaxillary incision under general anesthesia

作　　者：才杰[1] 田立粮[2] 马海欢[1] 

机构地区：[1]中日友好医院整形外科,北京100029 [2]黑龙江省大庆市人民医院整形美容科

出　　处：《中华医学美学美容杂志》2006年第3期141-143,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨在全身麻醉下经腋窝切口隆乳术向剥离层次中注入肿胀液的方法及其临床意义。方法 在203例全身麻醉隆乳术中，向腋窝切口及入路和胸大肌或乳腺下注入适量肿胀液后再剥离，并与未注射肿胀液的210例进行比较，分析其临床优势和意义。结果 在局部注射肿胀液的病例中，术中剥离时出血少，术后1～3d疼痛减轻，术后局部淤血、红肿发生率都大为降低。结论 在全身麻醉下隆乳术中局部注射肿胀液能明显减轻术中出血、术后早期疼痛及减少术后局部淤血红肿的发生率。Objective To explore the clinical significance of injecting the tumescent fluid into the separated space in breast augmentation by transaxillary incision under gerenal anesthesia. Methods In 203 cases of breast augmentations by transaxillary incision, some tumescent fluid was injected into the incision and submuscular or subgland space, and then separated under general anethesia. By comparison of the 210 cases without tumescent fluid, the advantages and the clinical significances of this approach were discussed. Results There were less bleeding, early allevation of pain after operation and decreased incidence of local congestion and swelling in patients with tumescent fluid. Conclusion The tumescent fluid could reduce bleeding, early pain after operation and local congestion and swelling in the breast augmentation under general anesthesia.

关 键 词：肿胀液 全身麻醉 隆乳术 

分 类 号：R614[医药卫生—麻醉学]