中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (47): 8765-8768.doi: 10.3969/j.issn.1673-8225.2011.47.007

• 生物材料临床实践 clinical practice of biomaterials • 上一篇    下一篇

硅胶假体隆乳6个月~8年并发症19例

王  璐，刘林嶓，陈旻静   

  1. 郑州大学第一附属医院整形外科，河南省郑州市  450052
  • 收稿日期:2011-05-17 修回日期:2011-07-30 出版日期:2011-11-19 发布日期:2011-11-19
  • 作者简介:王璐☆，男，1966年生，河南省永城市人，汉族，郑州大学第一附属医院在读博士，副主任医师，主要从事整形美容外科的研究。 Luwang1966686868@126.com

Complications occurrence at 6 months to 8 years following augmentation mammoplasty with silicone gel implants in 19 cases

Wang Lu, Liu Lin-bo, Chen Min-jing   

  1. Department of Plastic Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou  450052, Henan Province, China
  • Received:2011-05-17 Revised:2011-07-30 Online:2011-11-19 Published:2011-11-19
  • About author:Wang Lu☆, Studying for doctorate, Associate chief physician, Department of Plastic Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China Luwang1966686868@126.com

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451

被引次数

4

摘要：

背景：有很多选择可用于硅胶假体隆乳后并发症的矫治。
目的：观察硅胶假体隆乳并发症患者的再次隆乳效果。
方法：选择2005-09/2009-09郑州大学第一附属医院整形外科收治的固体硅胶假体隆乳后6个月~8年出现假体移位、乳房下垂、纤维包膜挛缩女性患者19例。行以乳头为圆心，以假体的半径加3 cm为半径画圆标记出分离胸大肌后腔隙边缘，采用乳晕缘下半环切口入路，更换硅胶假体，将乳房假体置入胸大肌后间隙，然后将醋酸曲安奈德注射液50 mg以及庆大霉素注射液160 mg注入囊腔，一期完成并发症的矫治。
结果与结论：19例患者再次假体置入后8~10周不良形态消失，均未再出现过假体移位、乳房下垂、纤维包膜挛缩等并发症。19例患者随访时间大于6个月，恢复效果满意。

关键词: 隆乳术, 硅凝胶假体, 并发症, 乳房畸形, 整形外科

Abstract:

BACKGROUND: There are many therapies for correction of complications following augmentation mammoplasty with silicone gel implants.
OBJECTIVE: To observe the effect of second augmentation mammoplasty on patients with complications following augmentation mammoplasty with silicone gel implants.
METHODS: Nineteen patients with displacement of implants, breasts sagging or capsular contracture at 6 months to 8 years secondary to augmentation mammoplasty with silicone gel implants were selected from the Department of Plastic Surgery of the First Affiliated Hospital of Zhengzhou University from September 2005 to September 2009. The silicone prosthesis was placed into the interspace of the pectoralis major from a specially designed incision, and 50 mg triamcinolone acetonide acetate injection and 160 mg gentamycin sulfate injection were injected into the cavity in one stage.
RESULTS AND CONCLUSION: All the deformations of 19 cases disappeared at 8-10 weeks, and displacement of implants, breasts sagging and capsular contracture were not observed. All the 19 cases were followed up for over 6 months, and the effects were satisfactory.

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