CAJ | 학술논문

目的乳房内聚丙烯酰胺水凝胶因并发症取出后,在进行假体置入时,由于局部组织的缺损会导致乳房假体覆盖不全,探讨采用异体脱细胞真皮修复聚丙烯酰胺水凝胶取出术乳房局部缺损的效果.方法对46例患者进行乳房内聚丙烯水凝胶取出术后乳房形态的修复,在采用假体置入的同时,以异体脱细胞真皮修复乳房覆盖假体的局部缺损.置入乳房假体后,将脱细胞真皮在保持一定的张力时缝合固定于周围组织.结果术后随访6个月至2年,患者乳房形态都获得了很好的修复,无假体疝出及包膜挛缩的发生.术后13个月病理检查显示,置入的脱细胞真皮与周围组织融合良好.结论通过采用异体脱细胞真皮修复缺损的腺体或肌肉,虽然不能明显增加皮下组织的厚度,但是能够保持假体周围张力的连续性,避免因为局部张力的突然减少而产生假体膨出,是值得推荐的一种局部乳房缺损的修复方法.
목적 유방내취병희선알수응효인병발증취출후,재진행가체치입시,유우국부조직적결손회도치유방가체복개불전,탐토채용이체탈세포진피수복취병희선알수응효취출술유방국부결손적효과.방법 대46례환자진행유방내취병희수응효취출술후유방형태적수복,재채용가체치입적동시,이이체탈세포진피수복유방복개가체적국부결손.치입유방가체후,장탈세포진피재보지일정적장력시봉합고정우주위조직.결과 술후수방6개월지2년,환자유방형태도획득료흔호적수복,무가체산출급포막련축적발생.술후13개월병리검사현시,치입적탈세포진피여주위조직융합량호.결론 통과채용이체탈세포진피수복결손적선체혹기육,수연불능명현증가피하조직적후도,단시능구보지가체주위장력적련속성,피면인위국부장력적돌연감소이산생가체팽출,시치득추천적일충국부유방결손적수복방법.
Objective When implantation of a prosthesis is performed for patients with a local defect of the breast after the removal of polyacrylamide hydrogel,incomplete coverage of the surface of the prosthesis occurs in these cases.The aim of this study was to explore the effectiveness of acellular allogeneic dermis in the repair of defects after prosthesis implantation.Methods Breast prosthesis implantation together with acellular allogeneic dermis repair was performed in 46 cases.Acellular allogeneic dermis was applied to cover the surface of the prosthesis,and interrupted suture was used between the margin of the dermis and the incisional margin of the gland,while appropriate tension was maintained.Results There were no complications occurred postoperatively.Correction of local depression in the breast was excellent in all cases.Histological examination showed the implanted acellular allogeneic dermis was integrated into the peripheral tissue.Conclusions Acellular allogeneic dermis can be used for repairing breast and muscle defects,in order to cover the prosthesis.Although it cannot significantly increase the thickness of the subcutaneous tissue,it can maintain the integrity of the peripheral tension around the prosthesis.In this way,it can avoid bulging of the prosthesis caused by a sudden reduction of local tension.Moreover,donor site injury is avoided.Acellular allogeneic dermis is an effective method for the repair of local breast defects.