乳房内少量聚丙烯酰胺凝胶残留对同期假体植入的影响  

Effects of minimal residue of polyacryamide hydrogel on prosthesis implanted into the breasts simultaneously

作　　者：黎宁[1] 李峰[1] 池刚毅[1] 陈彦伟[1] 覃春丽[1] 

机构地区：[1]南宁市第一人民医院整形美容外科,广西壮族自治区南宁市530022

出　　处：《中国组织工程研究与临床康复》2009年第34期6693-6696,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:目前在有关治疗注射隆乳并发症的报道中,凝胶未完全清除干净同期能否植入乳房假体目前尚无较一致意见。目的:探讨注射隆乳术后行凝胶清除术中,因种种原因凝胶无法完全清除时,同期行假体隆乳手术的可行性及远期效果观察。设计、时间及地点:临床病例分析,于2004-03/2008-07在南宁市第一人民医院整形美容外科完成。对象:选择接受治疗的聚丙烯酰胺凝胶注射隆乳患者23例。年龄22～42岁。注射后至就诊时间为0.4～4.5年,聚丙烯酰胺凝胶注射量100～400mL。方法:术中尽量清理聚丙烯酰胺凝胶,直至抽出物肉眼看不见胶状物为止。根据凝胶清理后状况,确定无炎症反应的情况下,分别在乳腺后或胸大肌后间隙植入硅凝胶假体(200～260mL)。主要观察指标:术后定期随访,观察切口愈合情况、乳房硬结消退情况、乳房有无变形、乳房硬化情况、凝胶移位情况。结果:凝胶基本干净7例、大部分干净8例、胸大肌残留部分凝胶8例,术后随访0.3～3年,所有患者乳房外观形态好,无明显硬结扪及,无感染溃疡,无凝胶移位,患者均对手术效果满意。结论:在无炎症反应的前提下,乳房内残留少量聚丙酰胺水凝胶时,同期植入乳房假体是可行且安全的。BACKGROUND： Up to date, whether prosthesis can be implanted simultaneously with the residue of polyacryamide hydrogel （PAMHG） in the breasts still not consistent. OBJECTIVE： To explore the feasibility and long-term curative effect of prosthesis implanted simultaneously with the residue of PAMHG in the breasts. DESIGN, TIME AND SETTING： The clinical cases analysis was performed at the Department of Plastic and Aesthetic Surgery, No.1 People＇s Hospital of Nanning were collected. PARTICIPANTS： Totally 23 cases, aged 22 42 years, who received silicone gel breast implant （SBI, 100 400 mL） were collected The time from injection to hospital visit was 0.4-4.5 years. METHOD： PAMHG was cleared as possible, followed by implanted 200 260 mL SBI was via retro-mammary space or sub- pectoral space when cases without inflammation reaction. MAIN OUTCOME MEASURES： The wound healing, regression of breast induration, as well as complication and long-term curative effect was followed up. RESULT： The 0.3 3 years follow-up showed that the whole PAMHG was cleared in 7 cases, a majority of PAMHG was cleared in 8 patients, and partially PAMHG was remained in ectopectoralis of 8 patients. All the breasts of the patients were good at exterior No obvious nodules, infection, ulcer or gel migration occurred. All patients were satisfied with the surgical results. CONCLUSION： It is feasible and safe to implant prosthesis simultaneously with minimal residue of PAMHG if there is no inflammatory reaction.

关 键 词：注射隆乳 聚丙烯酰胺水凝胶 假体置入隆乳术 

分 类 号：R318[医药卫生—生物医学工程]