CAJ | 학술논문

目的：聚丙烯酰胺凝胶注射隆乳后广泛采用抽吸游离凝胶的方法，仍有相当一部分注射物残留。本文阐述并探讨聚丙烯酰胺水凝胶隆乳后清除的方法。方法2005年2月至2013年12月，共170位曾注射聚丙烯酰胺水凝胶隆乳的患者要求去除注射物。我们使用乳晕下边缘切口，尽可能清除游离注射物，然后沿注射物外部的包囊进行分离，尽可能地去除浸润变性的包囊和筋膜组织。结果除5位患者对术后乳房较为平坦的外观不满以外，其余绝大部分患者对术后效果表示满意。乳房包块、疼痛、上肢活动不适感及乳房手感变硬等并发症都减轻或消失。结论为解决注射隆乳术后乳房包块、疼痛及乳房偏硬造成的上肢活动不适等并发症，尽可能地去除游离凝胶及浸润有凝胶的周围组织，才能获得较为理想的效果，我们推荐采用将游离的凝胶及浸润周围包囊和/或筋膜一起去除的方法。
목적：취병희선알응효주사륭유후엄범채용추흡유리응효적방법，잉유상당일부분주사물잔류。본문천술병탐토취병희선알수응효륭유후청제적방법。방법2005년2월지2013년12월，공170위증주사취병희선알수응효륭유적환자요구거제주사물。아문사용유훈하변연절구，진가능청제유리주사물，연후연주사물외부적포낭진행분리，진가능지거제침윤변성적포낭화근막조직。결과제5위환자대술후유방교위평탄적외관불만이외，기여절대부분환자대술후효과표시만의。유방포괴、동통、상지활동불괄감급유방수감변경등병발증도감경혹소실。결론위해결주사륭유술후유방포괴、동통급유방편경조성적상지활동불괄등병발증，진가능지거제유리응효급침윤유응효적주위조직，재능획득교위이상적효과，아문추천채용장유리적응효급침윤주위포낭화/혹근막일기거제적방법。
Objective Recently, increasing number of patients, who have received polyacrylamide hydrogel injection for augmentation mammoplasty, are seeking to have this gel removed regardless of whether they're suffering from symptoms or not. Blunt aspiration, which is widely performed but removes only free hydrogel, leaves residual hydrogel in the breast. Here we're going to report and discuss our methods and ideas of the treatment for polyacrylamide hydrogel-injected breasts. Methods During the period of February 2005 to December 2013, 170 women who had undergone injection of polyacrylamide hydrogel for augmentation mammoplasty presented to us for treatment. A peri-areolar incision was made on the lower border of the areola, followed by dissection to the outer surface of the infiltrated fascia of polyacrylamide hydrogel. The fascia was dissected away as completely as possible and the free polyacrylamide hydrogel was removed from the cavity. Results Almost all the patients were satisfied with the surgical results, except for 5 patients who complained about the flat appearance of the breasts. Preoperative symptoms such as breast lumps, pain, uncomfortable upper-extremity movement and breast firmness were relieved and disappeared after removal of the free polyacrylamide hydrogel and infiltrated capsule. Conclusion The removal of the infiltrated capsule and free polyacrylamide hydrogel as much as possible may be successful in removing breast lumps, pain, and uncomfortable upper -extremity movement due to breast firmness. To remove polyacrylamide hydrogel as much as possible, the removal of the infiltrated fascia and capsule together with the free polyacrylamide hydrogel is recommended.