隆乳术后包膜挛缩处理方案探讨  

Reconsideration the treatment scheme of capsular contracture after augmentation mammoplasty

作　　者：孙中生[1] 陈光平[1] 汪海滨[1] 徐翔[1] 蔡冰[1] 伍艳群[1] 罗盛康[1] 

机构地区：[1]广东省第二人民医院整形科,广东广州510317

出　　处：《中国美容医学》2013年第14期1482-1484,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨直视下经乳晕切口对假体隆乳术后不同情况下包膜挛缩的有效处理方法。方法:2009年1月～2012年10月,对65例假体隆乳术后包膜挛缩进行治疗,均采用乳晕切口,视原假体植入腔隙及乳腺、胸大肌厚度等条件采取重新剥离腔隙、去除或不去除包膜组织甚至Ⅱ期手术的方法,术中严格止血。结果:本组65例术后均获得随访,随访时间8个月～42个月,平均随访时间15.2个月,术后包膜挛缩复发者2例,其余病例乳房外观均满意。结论:应用直视下乳晕切口对假体隆乳术后包膜挛缩进行个性化的有效处理,术后包膜挛缩复发率较低。Objective To discuss the effective methods to remove the fibrous capsules after augmentation mammoplasty with periareolar incision. Methods From 2009 Jan to 2012 Oct,65 cases were treated in periareolar incision. According to the different layers of implants and the thickness of breast and pectoralis major, different methods were adopted,such as stripping the layers again, removing or leaving the fibrous capsules or adaping the second-stage operation. All were strictly stopped bleeding. Results 65 cases were all followed up from 8-42months（15.2months on average） postoperatively. 2 cases relapsed of capsular contracture while others got better effects. Conclusion Personalized treatment for capsular contracture after augmentation mammoplasty using periareolar incision can reduce the recurrence.

关 键 词：隆乳术 纤维包膜挛缩 并发症 

分 类 号：R622[医药卫生—整形外科]