硅凝胶乳房假体隆乳临床应用体会.docVIP

硅凝胶乳房假体隆乳临床应用体会 　　[摘要]目的：探讨硅凝胶乳房假体置入隆乳术的临床疗效。方法：依据测量胸乳距、乳房基底宽度、乳头至乳房下皱襞距离等数据确定选用的假体类型、容量；采用腋窝切口或乳晕切口，将假体置于胸大肌深面或浅面。结果：统计我科自2010年5月至2011年12月采用国产硅凝胶毛面假体隆乳术122例，其中置于胸大肌深面68例、置于浅面54例，术后随访3个月至1年，所有患者乳房外形逼真，手感真实柔软，出现轻度包膜挛缩1例，未见感染、血肿及假体扭曲等并发症。结论：硅凝胶乳房假体与身体组织相容性好，适当的手术方法及术后处理可明显降低包膜挛缩率。 　　[关键词]硅凝胶乳房假体；隆乳术；临床效果 　　[中图分类号]R622 [文献标识码]A [文章编号]1008-6455（2013）01-0115-03 　　The clinical application of silicon gel breast prosthesis breast augmentation 　　LIU Wei-ting，SONG Jian-xing，KOU Jing-bo，QIAO jing 　　（Department of Cosmetic Surgery，Shanghai East Hospital，Shanghai 200120，China） 　　Abstractive： Objective To discuss the clinical effect of augmentation mammoplasty with silica gel breast prosthesis. Methods Firstly，the prosthesis was chosen according to some measured data such as the breast width， the basal breast width， the distance of the nipple to the crease under the breast fold. Then the prosthesis was put into the deep surface or superfical surface of the major pectoralis muscle. Results We have 122 cases（68 cases for deep surface and 54 cases for superfical surface） of augmentation mammoplasty with rough surface prothesis made of domestic silicone gel from May 2010 to December 2011. Three month to one year postoperative follow-up show that the shape and the touch of breasts of all patients are close to real. Mild capsular contracture happened in 1 case， but none complications such as infection，hematoma and prothesis distortion. Conclusions The tissue compatibility of silicone gel breast prosthesis to body is good. The incidence rate of capsular contracture can be reduced by suitable operation method and postoperative treatment. 　　Key words： silica gel breast prosthesis； augmentation mammoplasty， clinical effect. 　　追求丰满健美的乳房成为越来越多女性的目标，注射隆胸因其存在严重的弊病已被禁止使用。近年来，应用新型硅凝胶乳房假体隆胸日益普遍，成为实现这一目标最有效的手段之一。目前市场上乳房假体琳琅满目，如何选择优质假体，减少术后并发症及包膜挛缩的发生，成为临床医生面临的难题。近年来我科应用新型国产硅凝胶假体行隆乳术，获得了较满意的疗效，现将临床治疗体会总结如下。 　　1 资料和方法 　　1.1 临床资料：统计我科2010年5月～2011年12月行隆乳术患者共122例，年龄25～45岁，已婚90例，未婚32例。其中先天性双