经乳晕内侧半圆切口入路行乳房聚丙烯酰胺水凝胶取出术的临床观察  

Clinical observation of the effect of breast removal of polyacrylamide hydrogel by areola medial semicircular incision

作　　者：潘盛盛[1] 赵进军[1] 潘臻文[1] 倪彬婷[1] Pan Shengsheng Zhao Jinjun Pan Zhenwen Ni Binting(Department of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, Chin)

机构地区：[1]温州医科大学附属第一医院整形外科,浙江省温州325000

出　　处：《中国基层医药》2016年第21期3252-3255,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：观察经乳晕切口入路乳房聚丙烯酰胺水凝胶取出术的效果，为临床提供有效的聚丙烯酰胺水凝胶取出术式。方法45例乳房聚丙烯酰胺水凝胶取出患者，根据接受的术式分为观察组25例和对照组20例；观察组采用经乳晕内侧半圆切口入路取出乳房聚丙烯酰胺水凝胶；对照组采用乳晕微小切口抽吸法取出乳房聚丙烯酰胺水凝胶。观察两组的手术时间、术中出血量、术后引流管拔除时间、术后7 d 乳房形态和围手术期并发症；术后进行随访，评价手术效果。结果观察组的手术时间（190．2±36．1）min，明显长于对照组的（119．5±44．0）min，差异有统计学意义（t ＝5．924，P ＜0．05）；观察组的术中出血量（250．4±23．9）mL，多于对照组的（89．7±30．4）mL，差异有统计学意义（t ＝19．865，P ＜0．05）。两组的术后7 d 乳房形态正常率的差异无统计学意义（χ2＝2．571，P ＞0．05）；观察组的术后引流管拔除时间（3．7±0．5）d，长于对照组的（2．3±0．3）d，差异有统计学意义（t ＝11．021，P ＜0．05）。观察组的并发症发生率12．0％（3／25），对照组的并发症发生率10．0％（2／20），差异无统计学意义（χ2＝0．045，P ＞0．05）。两组术后均获得随访，平均随访时间（6．7±2．1）个月；观察组的手术优良率92．0％（23／25），对照组的手术优良率70．0％（14／20），观察组的手术优良率高于对照组（χ2＝5．718，P ＜0．05）。结论对于聚丙烯酰胺水凝胶注射隆乳术后出现并发症的患者，建议首选采用经乳晕半圆切口入路乳房聚丙烯酰胺水凝胶取出术。Objective To learn the effect of breast removal of polyacrylamide hydrogel by areola incision;and to provide an effective method for removal of polyacrylamide hydrogel.Methods According to the accepted operation,45 cases with breast polyacrylamide hydrogel were divided into 25 cases of observation group and 20 cases of control group.The observation group was treated with areola medial semicircular incision breast removal of polyac-rylamide hydrogel,and the control group was treated with areola small incision suction to remove polyacrylamide hydrogel.The operative time,intraoperative blood loss,postoperative drainage tube extraction time,postoperative 7d breast shape and perioperative complications of the two groups were observed;postoperative follow -up was performed to evaluate the effect of surgery.Results The operation time of the observation group （190.2 ±36.1）min was longer than （119.5 ±44.0）min of the control group,the difference was statistically significant between the two groups （t =5.924,P 〈0.05）;the intraoperative blood loss of the observation group （250.4 ±23.9）mL was higher than （89.7 ± 30.4）mL of the control group,the difference was statistically significant （t =19.865,P 〈0.05 ）.The difference between postoperative 7d breast normal morphology rates of the two groups was not statistically significant （χ2 =2.571,P 〉0.05）;the postoperative drainage tube extraction time of the observation group （3.7 ±0.5）d was more than （2.3 ±0.3）d of the control group,the difference was statistically significant （t =11.021,P 〈0.05 ）.The complication rate of the observation group was 12.0%（3 /25）,which of the control group was 10.0%（2 /20）,the difference was not statistically significant （χ2 =0.045,P 〉0.05）.All cases of the two groups were followed up;the mean follow -up time was （6.7 ±2.1）months.The good rate of surgery of the observation group was 92.0 % （23 /25）,which of the control group was 70.0%（14 /20）,the observation group was hig

关 键 词：聚丙烯类 乳房植入物 装置取出 外科 微创性 

分 类 号：R655.8[医药卫生—外科学]