肿胀技术对假体隆乳术后包膜挛缩的影响  

Effect of tumescent technique on capsule contracture after augmentation mammoplasty

作　　者：杨杰[1] 孙家明[1] 熊凌云[1] 王荣荣[1] 付茜[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院整形外科,湖北武汉430022

出　　处：《中国美容整形外科杂志》2011年第3期137-139,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 探讨肿胀技术对假体隆乳术后包膜挛缩的影响.方法 回顾性分析笔者科室自2003年8月至2010年9月收治的52例假体隆乳术求美者（104只乳房）,均采取经腋窝入路胸大肌下置入圆形毛面硅凝胶假体的方法,假体体积200～240ml.根据术中是否应用肿胀技术分为A、B两组,观察所有求美者术后每天引流量和引流液颜色,随访并比较两组患者术后包膜挛缩发生率.结果 本组52例求美者（104只乳房）,术后引流管放置时间平均为5d,当单侧24h引流量少于30ml时拔除引流管.术后随访6个月至5年,A组（未应用肿胀技术组）48只乳房,出现Baker Ⅲ级以上包膜挛缩4只,包膜挛缩（≥Ⅲ级）发生率为8.33%;B组（应用肿胀技术组）56只乳房,出现Baker Ⅲ级以上包膜挛缩2只,包膜挛缩（≥Ⅲ级）发生率为3.57%;两组包膜挛缩发生率相比其差异有统计学意义（P〈0.05）.结论 应用肿胀技术行胸大肌后假体隆乳可明显降低假包膜挛缩发生率.Objective To explore the effects of the tumescent technique on the capsule contracture after augmentation mammoplasty. Methods A retrospective study was performed on 52 patients who received silicone gel implant breast augmentation in our department from August 2003 to September 2010. All the round textured cohesive silicone gel implants were placed through transaxillary incision in a subpectoral pocket. The cases were divided into Group A and B based on that whether the tumescent technique was performed in the operation. The total volume and liquid color of drainage was observed and the incidence of capsular contraeture was recorded postoperatively. Results Totally 52 patients （ 104 breasts） were studied in this group. Follow-up was performed in all 52 cases from 6 months to 5 years. There was 48 breasts in Group A （without tumescent technique）, and capsular contracture （ ≥Baker Ⅲ） happened in 4 breasts （8.33%） ; there was 56 breasts in Group B （with tumescent technique）, and capsular eontraeture （ ≥Baker Ⅲ） happened in 2 breasts （3.57%） ; there was statistically difference on the incidence of capsular eontraeture between Group A and B （ P 〈 0. 05 ）. Conclusion Application of tumescent technique in breast augmentation can reduce the incidence of capsular eontracture.

关 键 词：隆乳术 并发症 包膜挛缩 肿胀技术 

分 类 号：R655.8[医药卫生—外科学]