磁共振及X线对隆乳术后乳腺改变及并发症的诊断价值  

Diagnostic value of MR and Mammograpy on postoperative complications and breast changes after augmentation mammoplasty

作　　者：汪珍穗[1] 郑力强[1] 梁志伟[1] 朱国明 

机构地区：[1]广州市第一人民医院放射科,广东广州510180 [2]广州市白云区棠景街社区卫生服务中心放射科,广东广州510410

出　　处：《临床和实验医学杂志》2009年第6期41-43,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的分析磁共振(MR)及X线对隆乳术后乳腺改变及并发症的诊断价值。方法对38例76个乳腺的MR、X线及临床资料进行回顾性分析。结果正常情况下,假体及聚丙烯酰胺水凝胶(PAHG)边缘光整,MR呈水样信号,X线表现密度均匀,PAHG与周围腺体密度相近。异常情况下:①包膜不均匀增厚挛缩,PAHG呈不规则团块影,腺体结构较乱,密度增高。②自体脂肪隆乳术,乳腺内多发颗粒样低密度影,部分边缘钙化。结论X线是隆乳术后随访首选方法,MR准确直观反应术后乳腺结构的变化及并发症表现,有理想的诊断价值。Objective To analyze MR and mammography on complications and breast changes after augmentation mammoplasty. Methods In 76 breasts of 38 cases, MR and radiological manifestations and clinical findings were reviewed. Results In normal condition, implant and PAHG were with smooth neat border and watery signal intensity in MR. Mammographic feature was homogeneous. Density of PAHG was similar to that of breast. Under abnormal condition, it may manifest as：（1）dense capsule around and contracture. PAHG became irregular mass, increased density and architectural distortion of breast. （2）Muttiple hypedense cysts with mural calcification after auto fat mammoplasty. Conclusion Mana- mography is useful in follow - up study and MR plays a more important role than mammography in diagnosis of complications or association with breast lesions after augmentation mammoplasty.

关 键 词：MR 乳腺X线摄影术 隆乳术 并发症 随访 

分 类 号：R655.8[医药卫生—外科学] R445[医药卫生—临床医学]