聚丙烯酰胺水凝胶注射隆乳术后并发症的诊治分析

Analysis of diagnosis and therapy to postoperative complications of breast augmentation with injected PAHG

关键词:  聚丙烯酰胺水凝胶  注射隆乳  并发症

Key words:  polyacrylamide hydrogel  breast augmentation with injection  complication

摘要:

［目的］对聚丙烯酰胺水凝胶注射隆乳术后并发症进行讨论分析，探讨聚丙烯酰胺水凝胶注射隆乳后的最佳手术取出方法。［方法］对大连医科大学附属第二医院整形外科收治的86例聚丙烯酰胺水凝胶注射隆乳并发症患者诊治资料进行分析，并全部采用经乳晕下半缘切口进行注射物取出治疗。［结果］86例受术者注射假体绝大部分被取出，切口均I期愈合，无感染或血肿发生，双侧乳房基本对称，切口瘢痕不明显，有8例受术者术后乳房呈轻度下垂表现，建议6个月后行假体置入隆乳术。［结论］采用经乳晕下半缘切口行聚丙烯酰胺水凝胶取出手术能获得满意疗效，是目前治疗注射隆乳后并发症的有效、可行的方法。

Abstract:

［Objective］To discuss the complication of breast augmentation with injected polyacrylamide hydrogel (PAHG) and to explore the methods of removing PAHG through mammary areolar.［Methods］Clinical data of 86 patients who suffered complications from PAHG injection for augmentation mammaplasty were analyzed. They all underwent operation to remove PAHG through the mammary areolar incision. ［Results］Almost all injected augmentation material was removed via this approach. The incisions in all of the patients were primary healing. All of them were free from infection and hematoma. The breasts were symmetry. The incision scars were not very obvious. The breasts of 8 patients were drooping lightly.［Conclusions］This method of removing PAHG through mammary areolar is effective and satisfactory to patients with PAHG mammoplasty, and it is the safe and reliable way to treat the complications of breast augmentation with injection.