硅胶假体隆鼻术后包膜挛缩的临床分级及防治  

Capsular Contracture by Siliconerhinoplasty: Contracture Classification,Prophylaxis and Treatment

作　　者：田甜[1] 杨天荣[1] TIAN Tian;YANG Tian-rong(Department of Burns and Plastic Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院烧伤美容整形外科,重庆400016

出　　处：《中国美容医学》2018年第8期154-157,共4页Chinese Journal of Aesthetic Medicine

摘　　要：因硅胶假体的无毒性、生物适应性、化学稳定性、塑性好及方便操作等特性使得其在隆鼻术中广受欢迎,而亚洲人群鼻部软组织较厚、鼻软骨较薄弱,硅胶假体隆鼻后更易发生包膜挛缩。目前研究认为包膜挛缩的发生与感染、血肿、反复创伤、软骨过度切除等因素有关。由包膜挛缩后的临床表现确定其挛缩分级,根据分级情况采用手术切开、切除挛缩包膜、假体取出等相应的治疗方案,并且通过预防、正确的手术操作及抗菌药物的合理运用,可降低包膜挛缩的发生率。The nontoxicity,biological adaptability,chemical stability,ease of plasticity and other features make the silicone rhinoplasty enjoy a great popularity.Due to the thicker nasal soft tissue and the weakened nasal cartilag,the Asian is prone to capsular contracture after rhinoplasty.Infection,hematoma,repeated injuries to the nasal tissue and overaggressive resection of cartilage are assumed to contribute to the formation of capsular contracture.According to the relevant factors of capsule formation,the incidence of capsular contracture can be reduced through prevention,appropriacte oparaton and suitable use of antibiotics.

关 键 词：硅胶隆鼻 包膜挛缩 分型 治疗 预防 

分 类 号：R622[医药卫生—整形外科]