聚丙烯酰胺水凝胶注射后并发硬结抽吸治疗.docVIP

聚丙烯酰胺水凝胶注射后并发硬结抽吸治疗[摘要]目的：探讨聚丙烯酰胺水凝胶（PAHG）注射后并发硬结的更好、更有效的治疗方法。方法:总结38例PAHG注射后并发硬结的临床资料。针对隆乳术后及面部注射后并发硬结均采用一点式抽吸法治疗。结果：PAHG注射隆乳后并发硬结36例患者中有29例经一次治疗后治愈，另外7例经两次以上治疗后治愈。其中有9例三个月后二次注射PAHG使两侧乳房对称。额颞部注射后并发硬结1例，一次性治愈；另一例眉间鼻背部注射后并发硬结的患者，经三次治疗后好转。大多数患者获得满意疗效。结论：一点式抽吸法是治疗PAHG注射后硬结并发症的更有效的好方法。 [关键词]聚丙烯酰胺水凝胶；硬结；隆乳术；抽吸法 [中图分类号]R655.8[文献标识码]A[文章编号]1008-6455（2007）09-1205-02 The suction-therapy on induration after Polyacrylamide Hydrogel injection ZHENG Quan-zhou,YANG Li-xin，ZHAO Hong-ru (Department of Aesthetic and Plastic Surgery, Affiliated Hospital of Beihua University, Jilin 132011,Jilin,China) Abstract:Objective To discuss the better and more effective cure methods on induration after Polyarylamide Hydrogel(PAHG) injection. MethodsWe summarized 38 cases which have induration after PAHG injection. All the patients who have induration after augmentation mammoplasty and facial beauty by injecting PAHG were treated by suction-therapy.ResultsThere are 29 cases to have been a good cure by only once in 36 patients who have induration after augmentation mammoplasty. 7 cases have been cured over tow times. 9 cases among 36 patients have been injected again with PAHG three months later to make the breasts bilateral symmetry. 1 case who has induration after PAHG frontotemporal injection has been cured by only once in tow cases. The other that has induration after PAHG glabella and saddle nose injection has been cured by three times.ConclusionIt is a good and more effective method to treat the induration after PAHG injection by one point suction-therapy. Key words: Polyarylamide Hydrogel; induration; augmentation mammoplasty; suction-therapy 聚丙烯酰胺水凝胶（Polyarylamide Hydrogel，PAHG）作为软组织填充材料曾广泛用于隆乳及面部美容。有关资料统计已有30万例次注射过PAHG。由于该产品应用混乱，出现并发症的报道较多，2006年4月30日国家药监局下文全面停止PAHG的生产和使用。因此，如何解决好PAHG注射后并发症的问题，是美容外科医生经常遇到的医疗难题。大量的临床资料证实注射PAHG后并发硬结的发生率占并发症的50%以上。本文仅就注射PAHG后产生硬结的治疗报道如下。 1临床资料 本文收集统计了我院1056例注射PAHG的受术者在过去的8年时间内（自1998年5月至2006年4月）共有68例出现并发症的病历资料。临床表现：出血7例，感染6例，不对称1