隆乳术后纤维包膜挛缩的预防与治疗  

Prevention and treatment of fibrous capsule contraction after augmentation mammoplaty

作　　者：张志升[1] 张磊[2] 沙荣珍 

机构地区：[1]南京铁道医学院附属医院整形科,江苏南京210009 [2]南京第一医院 [3]南京东方整形美容诊所

出　　处：《实用美容整形外科杂志》2001年第3期139-140,共2页Journal of Practical Aesthetic and Plastic Surgery

摘　　要：目的　预防和治疗隆乳术后纤维包膜挛缩。方法　对 5 31例隆乳术患者 ,作者采用了以下几种方法 :①适当扩大剥离的腔穴 ,一般较之假体直径大约 3～ 4cm。②术后按摩及接受手术者自身有节奏的运动。③对已发生挛缩的纤维包膜进行手术松解。④术后应用负压引流。结果　早年 142例中 35例发生纤维包膜挛缩 ,按Baker法分类为Ⅲ° ,其中 18例再次手术 ,松解包膜 ,6例取除假体。 5 31例手术包膜纤维化发生率为 6 .5 % ,较以往明显降低。结论　术后坚持按摩及适当的运动 。Objective To prevent and treat the fibrous capsule contraction after augmentation mammoplasty. Methods In 500 cases, the author put forward several methods as follow: ①enlarging the volume of cavity(3～4cm larger than prosthesis), ②massage and patients's self-rhythmic motion, ③loosening the contracted capsules after operation, ④application of negative-pressure drainage. Results In the early years, the rate of capsule contraction was reduced. There were 35 cases who happened capsule contraction and were classified as Baker Ⅲ°, in which 18 cases were re-operated with capsule loosening and 6 cases were the prosthesis taken off. Conclusion The methods mentioned above are improved to be effective.

关 键 词：隆乳 包膜挛缩 硅凝胶假体 预防 治疗 

分 类 号：R622[医药卫生—整形外科]