聚丙烯酰胺水凝胶面部注射术后MRI研究.docVIP

聚丙烯酰胺水凝胶面部注射术后MRI研究[摘要]目的：探讨聚丙烯酰胺水凝胶(PAHG)面部注射术后MRI信号特征和常见并发症的MRI表现。方法：总结28例PAHG面部注射术患者的临床和MRI资料，并对其进行对照分析。结果：PAHG因其停留的解剖间隙不同，形态各异,T1WI为低信号，T2WI、T2WI抑脂为高信号，T2WI抑脂显示效果最佳。28例患者中12例发生水凝胶移位，3例硬结，3例不对称畸形。结论：MRI可对PAHG面部注射术后常见并发症提供诊断信息，是诊断PAHG面部注射术后并发症的理想检查方式。 [关键词]聚丙烯酰胺水凝胶；面部注射术；磁共振成像 [中图分类号]R622[文献标识码]A[文章编号]1008-6455（2008）07-0963-03 MRI analysis of polyacrylamide hydrogel injection for facial plasty LIN Tao,XIE Yu-zhi,ZHENG Dan-ning,YU Qiang (Department of Radiology,Ninth People’s Hospital,Shanghai Jiaotong University,Shanghai 200011,China) Abstract:ObjectiveTo investigate MRI signal features and MRI appearances of the commen complications in polyacrylamide hydrogel(PAHG) injecjion for facial plasty.MethodsMRI and clinical data of 28 cases in PAHG injection for facial plasty were retrospectively analyzed,and the MRI features were compared with clinical data respectively.ResultsPAHG in facial region display various shapes owing to the anatomy space which stay in.It appears low signal intensity on T1-weighted images, high signal intensity on T2-weighted images and fat saturation T2-weighed images,and it give the best contrast on fat saturation T2-weighed images.With total 28 cases,there were hydrogel migration in 12 cases,induration in 3 cases,secondary deformity in 3 cases.ConclusionMRI can provide useful information of complications in PAHG injection for facial plasty and it is an ideal examination for patients with PAHG injection for facial plasty. Key words：polyacrylamide hydrogel; facial plasty;Magnetic resonance imaging 随着生活水平提高，接受整容手术的爱美人士越来越多，聚丙烯酰胺水凝胶（Polyacrylamide hydrogel，PAHG）自1997年在国内应用以来，因其操作简单而迅速普及，曾应用于头面部、乳房、臀部、下肢等局部软组织缺损凹陷或欠丰满的患者,随着时间的推移，各种并发症逐渐出现，包括水凝胶移位、硬结、不对称、出血、感染、疼痛、胸大肌炎等[1-4]。2006年4月30日国家食品药品监督管理局禁停了聚丙烯酰胺水凝胶（注射用）的生产和使用。本文通过对28例面部PAHG注射术患者的临床和MRI资料的回顾性分析，探讨PAHG面部注射术后MRI信号特征及其常见术后并发症的MRI表现。 1资料和方法 1.1 一般资料：本组28例女性患者，均于外院行PAHG面部注射术，2004年9月～2007年7月来我院就诊并行MRI检查，年龄21～58岁，平均35岁。注射部位分布于颞部、颊部、眼睑、眉头、额部、鼻部、颏部。注入时间为6个月～8年，平均3.8年。