组织工程与重建外科杂志
組織工程與重建外科雜誌
조직공정여중건외과잡지
JOURNAL OF TISSUE ENGINEERING AND RECONSTRUCTIVE SURGERY
2015年
2期
80-82
,共3页
假体隆乳术%并发症%包膜挛缩
假體隆乳術%併髮癥%包膜攣縮
가체륭유술%병발증%포막련축
Augmentation mammoplasty%Complication%Capsule contracture
目的：探讨假体隆乳术后严重包膜挛缩的处理方法及乳房假体置入的适应征。方法2006年6月至2014年3月，对45例假体隆乳术后严重包膜挛缩（双侧乳房均为Baker分类法Ⅳ级）进行治疗，并进行同期或二期乳房假体置入。手术均采用乳晕切口入路，并根据情况保留或去除包膜组织，在乳腺后间隙或胸大肌后间隙置入假体。结果38例患者均一期置入乳房假体，7例于术后6个月行二期乳房假体置入。术后切口均一期愈合，39例获门诊随访，随访率86.7%，随访时间6~58个月（平均13.5个月）。1例术后4个月时仍出现包膜挛缩Ⅳ级，予以二期手术取出乳房假体，未再置入。其余患者乳房形态良好，触摸乳房手感较柔软。结论对于严重的假体隆乳术后包膜挛缩，对包膜进行有效处理，并根据情况置入假体，可以取得较好的术后乳房外观及手感。
目的：探討假體隆乳術後嚴重包膜攣縮的處理方法及乳房假體置入的適應徵。方法2006年6月至2014年3月，對45例假體隆乳術後嚴重包膜攣縮（雙側乳房均為Baker分類法Ⅳ級）進行治療，併進行同期或二期乳房假體置入。手術均採用乳暈切口入路，併根據情況保留或去除包膜組織，在乳腺後間隙或胸大肌後間隙置入假體。結果38例患者均一期置入乳房假體，7例于術後6箇月行二期乳房假體置入。術後切口均一期愈閤，39例穫門診隨訪，隨訪率86.7%，隨訪時間6~58箇月（平均13.5箇月）。1例術後4箇月時仍齣現包膜攣縮Ⅳ級，予以二期手術取齣乳房假體，未再置入。其餘患者乳房形態良好，觸摸乳房手感較柔軟。結論對于嚴重的假體隆乳術後包膜攣縮，對包膜進行有效處理，併根據情況置入假體，可以取得較好的術後乳房外觀及手感。
목적：탐토가체륭유술후엄중포막련축적처리방법급유방가체치입적괄응정。방법2006년6월지2014년3월，대45례가체륭유술후엄중포막련축（쌍측유방균위Baker분류법Ⅳ급）진행치료，병진행동기혹이기유방가체치입。수술균채용유훈절구입로，병근거정황보류혹거제포막조직，재유선후간극혹흉대기후간극치입가체。결과38례환자균일기치입유방가체，7례우술후6개월행이기유방가체치입。술후절구균일기유합，39례획문진수방，수방솔86.7%，수방시간6~58개월（평균13.5개월）。1례술후4개월시잉출현포막련축Ⅳ급，여이이기수술취출유방가체，미재치입。기여환자유방형태량호，촉모유방수감교유연。결론대우엄중적가체륭유술후포막련축，대포막진행유효처리，병근거정황치입가체，가이취득교호적술후유방외관급수감。
Objective To explore the correction for serious capsular contracture after augmentation mammoplasty and the indication of breast prosthesis implantation. Methods From June 2006 to March 2014, 45 cases with serious capsular contracture after breast augmentation (Bilateral, level Ⅳ of Baker classification method) were treated and received breast prosthesis implantation at the same period or at stage Ⅱ. Via breast areola approach, the capsular tissue was kept or removed based on the circumstances, retro-mammary space or posterior pectoralis major space was stripped for prosthesis placing. Results Among all the cases, 38 cases received breast prosthesis at stage I, other 7 cases proceeded the second period of breast prosthesis 6 months later. Postoperative incisions were healed by first intension. Thirty-nine cases were followed up for 6-58 months (mean 13.5 months) successfully and the follow-up rate was 87.9%. Level Ⅳ of capsular contracture was still observed in 7 cases 4 months after the surgery, then the breast prosthesis was removed with no implantation again. The breast shape of remaining cases was good with soft handfeel. Conclusion For serious breast capsular contracture after augmentation mammoplasty, effective processing of the envelope with prosthesis imbedding according to the situation could obtain a better postoperative breast appearance and feel.
