硅胶假体隆乳术联合A型肉毒毒素胸大肌注射的临床效果观察

目的 观察硅胶假体隆乳术联合A型肉毒毒素(BTXA)胸大肌注射的临床效果.方法 对2010-12~2011-05收治的53例需行隆乳术者行双侧胸大肌下半部分多点注射A型肉毒毒素(双侧总计100 U).结果 53例术后6~10个月随访,乳房双侧对称良好,外形满意,乳房感觉正常,无假体移位.有1例单侧血肿,3个月后患侧出现包膜挛缩,经对症处理后治愈.结论 硅胶假体隆乳术中联合应用A型肉毒毒素胸大肌注射可以提高假体隆乳术术后的效果,减少并发症发生.

Application of injecting botulinum toxim type A into pectoralis major muscle in breast augmentation with silicone prosthesis.

Objective To investigate the clinical effect of augmentation mammoplasty with silicone prosthesis combined with injecting Botulinum toxin type A(BTXA) into pectoralis major muscle.Methods A retrospective analysis of 53 cases who underwent augmentation mammoplasty with silicone prosthesis combined with multi-point injection of BTXA into the half-down part of pectoralis major muscle on both sides from December 2010 to May 2011 in our department was performed.The total dose of BTXA was 100 U.The 53 cases were follow-up for 6 to 10 months. Results Fifty-two cases obtained satisfactory results,with nice contour and normal breast sensation without displacement of implants,in 1 case with hematomas capsular contracture was found after 3 months.Then it was cured after symptomatic treatment.Conclusion The method of augmentation mammoplasty with silicone prosthesis combined with injecting BTXA into major muscle can increase the cutative effect and reduce complications.