乳房假体隆乳术后并发症12例分析  

Analysis of complications of augmentation mammaplasty in 12 patients

作　　者：杨维琦[1] 杨佩瑛[1] 候典举[1] 工黔 范金才[1] 栾杰[1] 马桂娥[1] 张旭辉[1] 唐勇[1] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院,北京100041

出　　处：《中华整形外科杂志》2000年第5期292-294,共3页Chinese Journal of Plastic Surgery

摘　　要：减少隆乳术并发症的发生，提高隆乳术的远期效果。方法　对１２例乳房假体隆乳术后１～１３年间出现并发症患者的临床表现及包膜病理变化进行分析讨论。结果１２例１５侧乳房中，单侧９例并发１种并发症者４例，并发２种者４例，并发３种者１例；双侧３例，并发同一种并发症者２例，并发３种并发症者１例。各种并发症有其特有的包膜病理及临床特点。结论严格执行无菌操作、熟练掌握该术技能、选择优质假体、首选胸大肌下置入、对假体破裂或渗漏而再次手术者须尽量完全切除包膜并彻底止血、术后正确包扎按摩以及术后重视随访监测等综合措施，是避免和减少隆乳术后并发症的关键。Objective To reduce complications and to improve the long-term results of augmentation mammaplasty. Method Twelve patients who had complications during a period of 1 to 13 years after augmentation mammaplasty were studied. The fibrous capsule of the breast implant was examined pathologically. Results 12 patients (15 breasts) were included in the study. Of the nine patients with unilateral augmentation mammaplasty, four had 1 complication; four had 2 complications and one had 3 complications. Of the three patients with bilateral augmentation mammaplasty , two had the same complication, one had 3 complications. Every complication has its pathologic and clinical characteristics. Conclusion Many measures are important for reducing complications including strict surgical manipulation, proper selection of good implants, preferred submuscular insertion, whole capsulectomy for prosthesis rupture or leak and through hemostasis, proper bandage, massage and follow-up et al.

关 键 词：隆乳术 并发症 包膜 硅胶肉芽肿 乳房假体隆乳术 

分 类 号：R655.8[医药卫生—外科学] R622[医药卫生—临床医学]