假体置入与聚丙烯酰胺水凝胶注射隆乳术并发症临床观察  

Clinical observation of complications of silicone gel implants and PAHG augmentation mammoplasty

作　　者：茅东升[1] 夏东胜[1] 赵启明[1] 王圣林[1] 何冬梅[1] 张承驹[1] 

机构地区：[1]解放军第117医院烧伤整形科,浙江省杭州市310013

出　　处：《中国美容医学》2003年第4期372-373,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察经腋路胸大肌后间隙假体置入隆乳术后与医用聚丙烯酰胺水凝胶(PAHG)乳腺后间隙一点注射法注射隆乳术后并发症的发生情况,以分析两种手术的优缺点。方法:对2001年-2002年间在本院行隆乳手术的183例患者(经腋路胸大肌后间隙假体置入隆乳术者130例、医用聚丙烯酰胺水凝胶乳腺后间隙注射隆乳术者53例)进行随访观察,了解并发症的发生情况。结果:假体置入组130例,平均年龄31.25岁±6.13岁,发生各种并发症5例,发生率3.85％;水凝胶注射隆乳组53例,平均年龄33.66岁±5.27岁,发生各种并发症12例,发生率22.64％。结论:两组术后并发症发生率差异显著(P<0.01),注射组并发症发生率明显高于假体置入组,假体置入法隆乳术仍应作为目前隆乳术的主流选择。Objective To observe and compare complications and advantages occurred in silicone gel implant and PAHG augmentation mammoplasty to learn which method is better and safer. Methods Total 183 cases who were performed augmentation mammoplasty were interviewed and observe to learn the situation of complications from 2001 to 2002. There were 130 cases in silicone gel implant group and 53 cases in PAHG group, in the former, the silicone gel implants were placed in retro pectoral muscle space through upper axillary's line. In the later, the PAHG was injected into the retro mammary space. Results In silicone gel implant group, their average age was 31. 25 ±6.13 years old, all sorts of complications occurred in 5 cases, the rate was 3. 85%. In PAHG group, the average age was 33.66±5.27 years old, 12 cases had complications, and the rate was 22.64%. Conclusion There is significant difference between the silicone gel group and PAHG group in the rate of complications( P<0.01). the rate in the later group is higher than that in the former group. The augmentation mammoplasty with silicone gel implant is safer than that with PAHG and should be the routine method.

关 键 词：假体置入 聚丙烯酰胺水凝胶 注射隆乳术 并发症 硅凝胶假体 

分 类 号：R622[医药卫生—整形外科] R655.8[医药卫生—外科学]