聚丙烯酰胺水凝胶取出同期行硅凝胶假体隆乳术13例分析  

Augmentation mammoplasty by implanting silicon-gel prosthesis following the removal of polyacrylamide hydrogel

作　　者：程宏宇[1] 万伟东[2] 郭宗科[2] 李静[2] 刘小俊[2] 

机构地区：[1]南京医科大学附属淮安市第一人民医院整形烧伤外科,江苏淮安223300 [2]东南大学附属中大医院整形外科,江苏南京210009

出　　处：《东南大学学报（医学版）》2010年第5期570-572,共3页Journal of Southeast University(Medical Science Edition)

摘　　要：目的：探讨经乳晕切口直视下取出聚丙烯酰胺水凝胶隆乳材料同期于胸大肌下置入硅凝胶假体的可行性。方法：28例曾行聚丙烯酰胺水凝胶注射隆乳术者通过乳晕切口取出注射物，选取13例注射物位于乳腺间及乳腺下间隙者同期于胸大肌下置入硅凝胶假体。结果：13例同期置入假体者近期无一例出现血肿和感染，1例单侧发生包膜挛缩再次手术矫正。术后随访6个月～2年，13例均外观自然、手感柔软。结论：选取合适病例经乳晕切口取出聚丙烯酰胺水凝胶后同期胸大肌下置入硅凝胶假体是可行的且效果良好。Objective： To investigate the feasibility of augmentation mammoplasty with implanting silicon-gel prosthesis after removing polyacrylamide hydrogel through peri-areolar approach. Methods： Polyacrylamide hydrogels in 28 patients who had undergone augmentation mammoplasty with polyacrylamide hydrogel were removed through peri-areolar approach and at the same time 13 cases were augmented by implanting silicongel prosthesis below pectoralis. Results： Follow-up of 13 cases for 6 months to 2 years showed that 12 patients obtained satisfactory effect with natural appearance and that no hematoma and infection were found. Capsular contracture occurred in 1 case and was reoperated. The result of the treatment was evaluated. Conclusion ： It is a feasible and effective method for augmentation mammoplasty after removing polyacrylamide hydrogel and at the same time implanting silicon-gel prosthesis located below pectoralis.

关 键 词：聚丙烯酰胺水凝胶 隆乳术 并发症 

分 类 号：R655.8[医药卫生—外科学]