应用聚丙烯单丝网片行乳房悬吊的常见并发症及处理  

Analysis of the complications following the periareolar reduction mammaplasty ruing polypropylene mesh as suspension device

作　　者：孙家明[1] 郭能强[1] 彭冲[1] 冯晓玲[1] 柳向东[1] 刘佳锋[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院,武汉430022

出　　处：《中华整形外科杂志》2008年第6期449-451,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨在乳晕周围环形切口乳房缩小整形术中应用聚丙烯单丝网片作支撑悬吊材料常见并发症发生的原因及防治措施。方法对1999年12月至2005年12月行此项手术的78例患者的临床资料进行分析，并对其中得到随访（6个月至5年）的47例远期手术效果进行评价。结果78例患者的近期并发症中血清肿3例，感染3例（伴网片外露2例），切口延期愈合3例，乳头乳晕感觉障碍1例，未发生血肿、皮瓣坏死及脂肪液化等并发症。47例得以随访者乳房上极皮肤波浪状畸形7例，乳房边缘触及硬结3例，乳晕周围瘢痕增宽继发下垂2例，乳头乳晕感觉障碍1例，其余病例外观和自我感觉均良好。有2例术后成功哺乳，5例术后行乳房X线摄影，未发现网的显像和乳房钙化灶。结论聚丙烯单丝网片作为乳房悬吊材料效果尽管较好，但因质地较硬、远期并发症较高，有必要寻找更为柔软安全可靠的替代材料。Objective To investigate the cause and the prophylactic measures for the complication following the periareolar reduction mammaplasty using polypropylene mesh as suspension device. Methods From Dec. 1999 to Dec. 2005, 78 patients who underwent periareolar reduction mammaplasty using polypropylene mesh as suspension device were analysed. Among them, 47 cases were followed-up for 6 months to 5 years, and their long-term effect was evaluated. Results Early after operation, complications included seroma （3 cases）, infection （3 cases）, delayed wound healing （3 cases）, and paraesthesia of nipple-areolar complex （1 case）. The 47 followed-up patients presented abnormal wave-like skin appearance in superior polar of breast （7 cases）, palpable cord-like mammary content in peripheral region of breast （3 cases）, widening of periareolar scar and secondary ptosis （2 cases） and paraesthesia of nipple-areolar complex （1 ease）. All other patients acquired good appearance and felt satisfactory. 2 patients could lactate after operation. 5 patients underwent mammary X-ray radiography after operation. No mesh shadow or calcification was revealed. Conclusions Although polypropylene mesh is a good suspension device in reduction mammaplasty, the long- term complication is relatively high because of the hardness of the tissue. More soft tissue is necessary as alternative device for clinical application.

关 键 词：乳房下垂 聚丙烯网 并发症 

分 类 号：R655.8[医药卫生—外科学]