聚丙烯酰胺水凝胶注射隆乳后乳汁内瘘的临床分析

目的:总结聚丙烯酰胺水凝胶注射式隆乳后哺乳期乳汁内瘘的诊治经验。方法:分析7例注射式隆乳后乳汁内瘘患者的临床特点，采用乳房下皱襞切口，切开反复冲洗、特制刮匙清除植入物，术后应用压力渐降的负压引流和药物与食物相结合的综合疗法抑制乳汁分泌。结果:7例患者手术切口在术后12~20 d愈合,术后1~8个月复查乳房彩超均未发现注射物残留，其中5例术后患侧乳明显缩小。结论:治疗关键是及时切开引流、清除植入物及抑乳治疗。有注射式隆乳史的女性产后应避免哺乳。

Clinical analysis of galactic fistula after augmentation mammaplasty with polyacrylamide hydrogel injection

Objective: To sum the clinical experience of galactic fistula during suckling period after augmentation mammaplasty with polyacrylamide hydrogel injection.Methods: The clinical characteristics in 7 galactic fistula cases with injection augmentation mammoplasty were analyzed.The breast was sectioned at inframammary fold and rinsed,then the implant was cleared using special curette.The galactopoiesis was inhibited by the comprehensive therapy of negative pressure drainage of pressure gradual decreasing,drug combined with food after operation.Results: The surgical incisions in 7 patients healed after 12 to 20 days of operation.The injection residues were not found by the breast ultrasound examination after 1 to 8 months of operation,and the obvious reduction in 7 disease breasts were found after operation.Conclusions: The incision and drainage in time,removing implants and preventing galactopoiesis are the key of treatment.The breast feeding in female with augmentation mammaplasty history should be avoided after delivery.