经乳晕切口处理聚丙烯酰胺水凝胶注射隆乳术后并发症

目的 分析30例聚丙烯酰胺水凝胶隆乳术后并发症发生原因及处理措施.方法根据并发症表现的不同加以分类.所有并发症者均采用经乳晕切口的显露刮吸、部分腺体及肌肉切除,只有1例同时通过腋窝切口行即刻乳房硅凝胶假体置入,5例半年后行乳房硅凝胶假体置入.结果 所有病例的术前症状基本消失.结论 聚丙烯酰胺水凝胶用于隆乳应非常慎重,目前必须进行严格的双盲随机病例对照研究,采用经乳晕切口的方法可以最大程度取出聚丙烯酰胺水凝胶.

The periareolar approach management of postoperative complications of breast augmentation by injected polyacrylamide hydrogel

Objective To analysis various complications of 30 patients of breast augmentation by injected polyacrylamide hydrogel and discuss the treatment through periareolar incision, Methods All patients were classified according to the different complications. Open suction technique and partial mastectomies via periaeoral incisions were performed in all patients, Ouly one patient had immediately breast reconstruction with prosthesis, five patients received secondarily breast prostheses implantation via a axillary incision, Result All the symptoms were relieved after remove of polyaerylamide hydrogel. Conclusions Polyacrylamide hydrogel should be prohihited for injected breast augmentation at present. A douhle-blinded randomized clinical study, controlled animal experiments and a large sample questionnaire survey for complications are neeessary. The periareolar approach is valuable technique and can remove polyaerylamide hydrogel as completely as possible.