硅凝胶假体植入或扩张器乳房再造术并发症及处理措施  

Complications of silicone prosthesis implant/expander breast reconstruction and related treatments

作　　者：杨开 王先成[1] 孙杨[1] 熊祥[1] 孟宪熙 李文波 李晓芳[1] 方柏荣[1] Yang Kai;Wang Xiancheng;Sun Yang;Xiong Xiang;Meng Xianzi;Li Wenbo;Li Xiaofang;Fang Borong(Department of Plastic and Cosmetic Surgery,Second Xiangya Hospital,Central South University,Changsha41001l,China)

机构地区：[1]中南大学湘雅二医院整形美容(烧伤)外科,长沙410011

出　　处：《中华医学美学美容杂志》2024年第4期370-376,共7页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨硅凝胶假体植入或扩张器乳房再造术常见并发症的相关处理措施。方法回顾性纳入2014年6月至2019年10月中南大学湘雅二医院整形美容(烧伤)外科收治行植入物乳房再造手术女性患者23例,年龄19~49(31.7±7.6)岁。分析病史、病因、临床表现,并进行相对应的处理。结果23例患者在治疗后随访3~12个月,23例患者中8例出现不同类型和程度的术后并发症,其中乳头乳晕复合体部分坏死1例、术后感染2例、假体或扩张器位置欠佳或移位2例、乳头乳晕复合体移位3例,所有并发症均进行相应处理,并有较好的治疗效果。结论对于硅凝胶假体植入和扩张器乳房再造术后发生并发症的患者,应针对并发症原因及时进行处理。患者可获得较好的手术效果。Objective To investigate the complications and related etiologies after immediate silicone implant and immediate two-stage tissue expander/implant breast reconstruction.Methods A retrospective study was conducted in 23 patients who underwent implant or tissue expander/implant breast reconstruction surgery from June 2016 to October 2019.The etiology,medical history and clinical symptoms of each patient were analyzed and related treatments were carried out depending on its complication.Results All patients were followed up for 3-12 months after surgery.Among the 23 patients,a total of 8 patients had different types of postoperative complications.Partial necrosis of the nipple-areola complex occurred in 1 case,postoperative infection in 2 cases,2 patients experienced deviation of the implant or tissue expander and displacement of the nipple-areola complex in 3 cases.All complications were treated accordingly,and a good therapeutic effect was finally maintained.Conclusions For patients with complications after immediate silicone implant and two-stage tissue expander/implant breast reconstruction,treatment should be carried out according to the causes of complications in time.In this way,patient can get better prognosis.

关 键 词：乳房成形术 假体和植入物 乳房假体植入 组织扩张装置 手术后并发症 

分 类 号：R655.8[医药卫生—外科学]