聚丙烯酰胺水凝胶注射隆乳后并发症的处理策略探讨  

作　　者：杨欧欧[1] 罗华[1] 胡祖健[1] 徐海滨[1] 

机构地区：[1]杭州市中医院乳腺外科,310007

出　　处：《浙江临床医学》2018年第6期1088-1090,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨聚丙烯酰胺水凝胶清除的方法和乳房整形修复的临床策略。方法2010年7月至2016年6月，收治32例PAAG注射隆乳术后患者，术前应用B超或MRI明确注射物层次。11例感染患者予引流，21例未感染患者予包囊外清除凝胶；Ⅰ期假体植入12例，Ⅱ期假体植入2例，不植入假体18例。结果随访1年，满意29例，基本满意3例，不满意0例，满意率100％。14例隆乳患者外形对称，美学效果良好。结论根据影像检查指导清除方式，尽量包括包囊完整清除凝胶；乳房修复应在整形美学角度分析形态、软组织厚度、凝胶破坏的程度等方面．制定个体化的治疗方案。Objective To explore the methods for the removal of polyacrylamide hydrogel （ PAAG ） and the clinical strategy of breast reconstruction. Methods From Jul.2010 to Jun.2016, 32 patients with bilateral breast augmentation by PAAG injection were treated.Preoperative ultrasound examination and MR.1 were performed to know the distribution of PAAG and infiltration at the surrounding tissue. 11 cases of infection in breastfeeding women underwent PAAG injection received drainage. According to the conditions after removal, the patients were received implant augmentation, immediately （ 12 cases ） , or at the second stage （ 2 cases ） , or no implant （ 18 cases ） . Results The patients were followed up for 1 year at the most with a very satisfactory rate of 90.6 % （ 29/32 ） , a satisfactory rate of 9.4% （ 3/32 ） and a dissatisfactory rate of 0% （ 0/32 ） . 14 patients who received implant augmentation got well cosmetic result. Conclusions According to the imaging guide to remove the polyacrylamide hydrogel as much as possible, the removal of the infiltrated fascia and capsule together with PAAG is recommended. The breast reaugmentation after PAAG removal should be performed based on the deformiW and condition of breast, including the thickness of soft tissue and the extent of the gel.It must be analyzed in the aspects of the aesthetics of plastic surgery.

关 键 词：聚丙烯酰胺水凝胶 并发症 乳房整形 

分 类 号：R655.8[医药卫生—外科学]