包膜囊上再置乳房假体隆乳术

目的探究隆乳术后包膜囊挛缩的手术治疗方法。方法采用原切口(腋窝顶或乳房皱襞下)，对隆乳后包膜挛缩者采用包膜囊保留并在其浅层再置人假体的方法进行治疗。结果治疗12例14侧乳房包膜囊挛缩症均取得良好效果。结论保留挛缩的包膜囊并在其浅层置人假体的乳房假体包膜囊挛缩治疗术具有创伤小、出血少、操作简便、安全性高、复发率低、并可通过腋窝顶小切口完成等优点，是治疗乳房假体包膜囊挛缩的较好方法。

Capsule preservation of prosthesis to treat capsular contracture after augmentation mammoplasty

Objective To explore the treatment of capsular contr ac ture after augmentation mammaplasty with mammary prostheses. Method Through primary incision (axillary or inframammary) and minor capsu le incision, patients with capsular contracture after augmentation mammoplasty w ere treated by preserving the contractive capsule and repositing of the breast p rosthesis anterior to the primary capsule. Results Total ly 12 cases (14 breasts) of capsular contracture were achieved satisfactory res ults since 2001. Conclusion The method of capsule preser vation and reposting of the breast prosthesis anterior to the capsule present n umerous advantages: little trauma, less bleeding, simple surgical procedure, saf e, less possibility of recrudescence, and can be finished through a small primar y axillary incision. It is a preferable method to treat capsular contracture.