硅凝胶乳房假体破裂渗漏的诊断与治疗

目的探讨硅凝胶乳房假体（siliconegel breast implant，SBI）破裂的诊断、治疗和预后。方法通过临床查体、X线透视、高频彩色多普勒超声仪检查明确诊断；经乳房下皱襞或乳晕切口入路探查并取出硅凝胶（siliconegel，SG）及其硅胶囊与纤维包膜；修整假体腔隙、同期置入SBI。结果32例单侧（或双侧）同期SBI破裂者再次手术后，乳房形态改观满意，术后除2例发生积液外，其余均I期愈合。结论SBI破裂后，取出SG及其硅胶囊与纤维包膜切除后，充分清理并修整、再造包膜腔隙，同期置入SBI，可以获得满意的治疗结果。

Diagnosis and treatment of breast implant rupture

Objective To study the diagnosis, treatment and prognosis of the rupture of breast implant. Methods Physical examination, X-ray fluoroscopy, high frequency and color the Doppler ultrasonography were helpful to make a clear diagnosis, in exploring and removing the fiber envelope by inframammary or periareolar incision, repairing the anatomy structure of the breasts and performing augmentation mammaplasty again. Results In 32 patients, the breast shape was basically symmetrical, most of the incisions were healed by first intention except 2 cases with complication of subcutaneous fluid collection. A satisfactory therapeautic result could be achieved by taking out the breast implant which was rupture, exploring and removing the fiber envelope, and extending the lacuna. Conclusion A satisfactory therapeautic result can be achieved by extending the lacuna.