注射聚丙烯酰胺水凝胶行隆乳术后并发症及相关原因分析

目的分析聚丙烯酰胺水凝胶隆乳术后并发症及相关原因.方法收集2000~2005年接受注射聚丙烯酰胺水凝胶隆乳手术后出现并发症到重庆市中山医院就诊的患者共26例.全部患者术前经高频超声或 MRI检查,在全麻下沿乳晕边缘切口行开放手术,术中采用大量含抗菌药物的生理盐水冲洗,术后在手术区域行加压包扎,给予抗菌药物治疗.结果术后随访3~18个月,24例患者并发症消失,其中20例患者乳房切开愈合较好;4例再次行乳房矫形手术,乳房形态恢复.2例再次行手术,取出残留的凝胶,症状缓解.结论直视下开放式手术是治疗聚丙烯酰胺水凝胶行隆乳术后并发症的有效方法.

Analysis of complications of polyacrylamide hydrogei injection for augmentation mammaplasty

Objective To analyze complications and their causes of polyacrylamide hydrogel injection for aug mentation mammaplasty. Methods From 2000 to 2005,26 cases with complications of polyacrylamide hydrogel injec- tion for augmentation mammaplasty were selected in Chongqing Zhongshan hospital. All the cases were checked by high frequency ultrasound or MRI before operations. Open operations were implemented along the incision of the are- ola edge under general anesthesia. During the operations,a lot of physiological saline with antibacterial was used for washing the areas of operation. After operations, the wounds got pressure dressing and the patients were treated with antibacterials. Results The patients were followed up from 3 to 18 months. 24 cases＇ complications disappeared,in which 20 cases healed well and 4 cases received breast orthopaedic surgeries for the second time to recover the breast appearance. The other two cases were operated for removing the rest of polyacrylamide hydrogel,then the complica- tions relieved. Conclusion The open operation under direct vision is a useful way to deal with the complications of polyaerylamide hydrogel injection.