比较两种经乳晕路径乳房聚丙烯酰胺水凝胶取出术.docVIP

比较两种经乳晕路径乳房聚丙烯酰胺水凝胶取出术[摘要]目的：比较两种经乳晕不同路径行乳房聚丙烯酰胺水凝胶取出手术的效果。方法：2007年1月～2007年7月期间，共35例已育女性患者接受经乳晕路径聚丙烯酰胺水凝胶取出手术。随机分为两组，其中18例采用乳晕缘下半环切口入路，17例采用经乳晕中线切口入路。比较二者手术时间、术后乳房外形，部分随访患者应用B超检查比较残留注射物情况。结果：二者平均手术时间无差异。采用乳晕中线切口入路较乳晕缘切口入路组保留乳房外形效果更好，瘢痕更加隐蔽。所有随访患者于术后3～6月接受B超复查，提示无明显注射物残留。结论：和常规经乳晕缘切口相比，乳晕中线切口入路在美学方面有明显优势。 [关键词]聚丙烯酰胺水凝胶；并发症；隆乳术 [中图分类号]R622[文献标识码]A[文章编号]1008-6455（2008）03-03 Comparison of two trans-areola approaches in breast polyacrylamide hydrogel removing operations ZENG Ang, QIAO Qun, BAI Ming, ZHANG Hai-lin, ZHU Lin, FANG Bai-rong, LI Wei-wei (Department of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100032, China) Abstract： ObjectiveTo compare the trans-areola-median approach with the conventional approach in breast polyacrylamide hydrogel removing operations. Methods35 patients were randomly allocated into two groups. Group A received breast polyacrylamide hydrogel removing operations through a conventional semi-periareola approach, while group B through a new areola-median approach. In the latter approach, the breast glandular tissues were split and the dissection were made directly posterior to the breast parenchyma.ResultsThe operative time, the perioperative complications, the post-operative breast shape and the residual hydrogel were compared between groups, which produce no statistically significant difference. As for the post-operative breast aesthetic appearance, the group B shows a more satisfactory result.ConclusionThe areola-median approach is as the same efficient as the conventional semi-periareola approach in dealing with the polyacrylamide hydrogel injected patients. In addition, the former approach has a superior advantage in aesthetics. Key words: polyacrylamide hydrogel(PAHG);complication;augmentation mammoplasty 20纪末，聚丙烯酰胺水凝胶注射隆乳术从东欧国家引入中国。由于注射方法和所需设备简单、易于开展、利益回报丰厚，这种新型隆乳方法迅速在各小医院及美容门诊开展起来。长期应用于临床后，注射隆乳术的许多并发症得以报道，如局部肿块、注射物移位、疼痛、感染、乳房形态破坏等。经过长期不良事件监测后，国家药品食品监督管理局于2006年全面停止了聚丙烯酰胺水凝胶的临床注射应用[1]。随着国家权威机构的