CAJ | 학술논문

目的探讨聚丙烯酰胺水凝胶(下简称水凝胶)注射式隆乳对受术者的危害及取出乳房内水凝胶安全有效的手术方法.方法 2003至2006年共收治水凝胶注射式隆乳术后者43例、86侧乳房,均经乳房下皱襞切口行水凝胶清除,术后加压包扎3 d.术前及术后3个月常规行双乳彩色多普勒及血液免疫学检查,以评估手术效果.结果 1例术后3个月彩色多普勒血流探测仪检查提示有聚丙烯酰胺水凝胶残留,20例术前伴有乳房疼痛者中有1O例疼痛消失,余10例有不同程度减轻.所有患者术前血液免疫学检查均有不同程度的异常,术后3个月异常指标有好转.结论水凝胶可造成受术者乳房疼痛等不适的症状,并可能对机体免疫功能带来损害,应尽早取出,而经乳房下皱襞切口行水凝胶清除是较为安全可靠的手术方法之一.
목적 탐토취병희선알수응효(하간칭수응효)주사식륭유대수술자적위해급취출유방내수응효안전유효적수술방법.방법 2003지2006년공수치수응효주사식륭유술후자43례、86측유방,균경유방하추벽절구행수응효청제,술후가압포찰3 d.술전급술후3개월상규행쌍유채색다보륵급혈액면역학검사,이평고수술효과.결과 1례술후3개월채색다보륵혈류탐측의검사제시유취병희선알수응효잔류,20례술전반유유방동통자중유1O례동통소실,여10례유불동정도감경.소유환자술전혈액면역학검사균유불동정도적이상,술후3개월이상지표유호전.결론 수응효가조성수술자유방동통등불괄적증상,병가능대궤체면역공능대래손해,응진조취출,이경유방하추벽절구행수응효청제시교위안전가고적수술방법지일.
Objective To investigate the bad effect of breast augmentation with PAAH injection and the technique to remove PAAH from breast effectively and safely.Methods 43 cases(86 sides)underwent operation to remove the PAAH from breast through submammary incision,followed by dressing with pressure for 3days.The patients received colored doppler ultrasonography and immunologic test before and 3 months after operation.Results Postoperative uhrasonography showed residual PAAH in breast in one case.Among the 20cases who had preoperative breast pain,the pain relieved completely in 10 cases and improved in the other 10cases.All the patients had some abnormal results in immunologic test which improved 3 months after operation.Conclusions Breast augmentation with PAAH injection can result in breast pain and other complications.It may also have bad effect on the immune system.PAAH should be removed as soon as possible.The technique through submammary incision to remove PAAH is one of the safe and reliable methods.