CAJ | 학술논문

目的探讨聚丙烯酰胺水凝胶取出与乳房整形策略的关系. 方法 2003年2月至2009年8月,共收治聚丙烯酰胺水凝胶注射隆乳术后患者130例,于术前常规行乳腺B超或MRI检查,明确注射物的分布层次和周围组织浸润等情况,并在注射物取出术后根据是否植入假体或何时植入假体,将患者分为一期植入假体、二期植入假体和不植入假体3种情况,分别给予相应治疗. 结果本组患者随访最长时间3个月,满意、基本满意和不满意率分别为83例(63.84%)、41例(31.53%)、6例(4.63%).基本满意组中5例6只乳房出现轻度包膜挛缩(Baker Ⅰ级);3例患者注射物残留过多,但仍执意要求植入假体,2例术后假体出现不平,但患者可以接受.不满意组皆为患者自行选择乳房假体,术后感到乳房外形与年龄不符,再次行假体取出术.除上述并发症外,无假体疝出、感染、切口裂开及双侧乳房不对称等畸形. 结论根据聚丙烯酰胺水凝胶取出术后乳房畸形特点及乳房修复条件,选择恰当的再隆乳策略,既可改善胸部外观,又可缓解心理压力.
목적 탐토취병희선알수응효취출여유방정형책략적관계. 방법 2003년2월지2009년8월,공수치취병희선알수응효주사륭유술후환자130례,우술전상규행유선B초혹MRI검사,명학주사물적분포층차화주위조직침윤등정황,병재주사물취출술후근거시부식입가체혹하시식입가체,장환자분위일기식입가체、이기식입가체화불식입가체3충정황,분별급여상응치료. 결과 본조환자수방최장시간3개월,만의、기본만의화불만의솔분별위83례(63.84%)、41례(31.53%)、6례(4.63%).기본만의조중5례6지유방출현경도포막련축(Baker Ⅰ급);3례환자주사물잔류과다,단잉집의요구식입가체,2례술후가체출현불평,단환자가이접수.불만의조개위환자자행선택유방가체,술후감도유방외형여년령불부,재차행가체취출술.제상술병발증외,무가체산출、감염、절구렬개급쌍측유방불대칭등기형. 결론 근거취병희선알수응효취출술후유방기형특점급유방수복조건,선택흡당적재륭유책략,기가개선흉부외관,우가완해심리압력.
Objective To explore the relationship between mammaplasty and results after polyacrylamide hydrophilic gel(PAHG)removal from breast. Methods From Feb.2003 to Aug.2009,130 patients with bilateral breast augmentation by PAHG injection were treated.Preoperative ultrasound examination and MRI were performed to know the distribution of PAHG and infiltration at the surrounding tissue.According to the conditions after removal,the patients were received implant augmentationimmediately,or at the second stage,or no implant. Results The patients were followed up for 3 months at the most with a very satisfactory rate of 63.84%(83/120),a satisfactory rate of 31.53%(41/120)and a dissatisfactory rate of 4.63%(6/120).Slight capsular contracture(Baker Ⅰ)occurred in 5 cases with 6 breasts in satisfactory group.All the patients in dissatisfactory groups who selected unsuitable implants by themselves were re-operated to take out the implants.3 cases with much residue PAHG insisted to receive breast implants.Among them,2 cases achieved acceptable results even the surface of the breasts were not smooth.No other complication happened. Conclusions The breast reaugmentation after PAHG removal should be performed based on the deformity and condition of breast.Both cosmetic result and psychological relief could be obtained after mammaplasty.