超声引导下乳房聚丙烯酰胺水凝胶类注射物取出术临床经验总结  

Clinical experience of real-time ultrasound-guided removal of polyacrylamide gel from the breast

作　　者：杨琴 李学拥 李靖 李跃军 刘佳慧 袁亚翠 马富鑫 李望舟 YANG Qin;LI Xueyong;LI Jing;LI Yuejun;LIU Jjiahui;YUAN Yachui;MA Fuxin;LI Wangzhou(Department of Burns and Plastic Surgery,Tangdu Hospital,Air Force Military Medical Universily,Xi'an 710038,China)

机构地区：[1]空军军医大学第二附属医院烧伤整形科,陕西西安710038

出　　处：《中国美容整形外科杂志》2024年第10期612-615,共4页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：空军军医大学科技发展基金(2023XC049)。

摘　　要：目的探讨高频超声检测、引导取出乳房聚丙烯酰胺水凝胶(polyacrylamide gel,PAAG)类注射物的应用价值。方法选取自2018年1月至2021年8月,空军军医大学第二附属医院烧伤整形科就诊的30例乳房PAAG患者。术前采用超声评估分型、定位PAAG所在层次、形态、大小、性状,术中在超声引导下行PAAG取出术,术后1个月随访,超声复查PAAG有无残留。结果30例患者均顺利的完成了手术,28例术中超声核查提示,PAAG已基本清除,2例因PAAG注射时间过长,引起周围组织变性,呈大小不等结节状、质硬、有钙化,剥离结节可见组织出血较多,只清除了集中分布的PAAG,对于一些散在分布的包裹、机化与正常组织混合在一起的PAAG,只能尽量清除,同时注意止血。结论超声引导下的PAAG取出术,比传统盲取更加安全、有效,能够在损伤最小的情况下尽可能的清除PAAG,值得推广应用。Objective To explore the application value of high-frequency ultrasonic detection and guided removal of polyacrylamide gel(PAAG)from the chest.Methods From January 2018 to August 2021,Thirtg patients with PAAG of the chest were selected.Before the operation,Ultrasound was used to evaluate the classification and location of the level,shape,size and character of PAAG.During the operation,PAAG was removed under the guidance of ultrasound.1 month after the operation,an ultrasound was used to check whether PAAG was residual completely.Results All 30 patients completed the operation,and the intra-operative ultrasonography of28 patients indicated that PAAG had been cleared.Due to the prolonged injection of PAAG,2 patients had severe degeneration,which caused the degeneration of surrounding tissues and presented nodules of different sizes,with hard texture and calcification.After the nodules were removed,there was much bleeding in the tissues.Only concentrated distribution of PAAG was removed.Conclusion Ultrasound-guided PAAG extraction is safer and more effective than traditional blind extraction,and Amazing-gel can be removed as much as possible with minimal damage.

关 键 词：聚丙烯酰胺水凝胶 超声 注射隆乳 

分 类 号：R655.8[医药卫生—外科学]