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12例隆乳术并发症分析

[Analysis of complications of augmentation mammaplasty in 12 patients].

作者信息

Yang W, Yang P, Hou D

机构信息

Plastic Surgery Hospital, CAMS, Beijing 100041, China.

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2000 Sep;16(5):292-4.

Abstract

OBJECTIVE

To reduce complications and to improve the long-term results of augmentation mammaplasty.

METHOD

Twelve patients who had complications during a period of 1 to 13 years after augmentation mammaplasty were studied. The fibrous capsule of the breast implant was examined pathologically.

RESULTS

12 patients (15 breasts) were included in the study. Of the nine patients with unilateral augmentation mammaplasty, four had 1 complication; four had 2 complications and one had 3 complications. Of the three patients with bilateral augmentation mammaplasty, two had the same complication, one had 3 complications. Every complication has its pathologic and clinical characteristics.

CONCLUSION

Many measures are important for reducing complications including strict surgical manipulation, proper selection of good implants, preferred submuscular insertion, whole capsulectomy for prosthesis rupture or leak and through hemostasis, proper bandage, massage and follow-up et al.

摘要

目的

减少隆乳术的并发症并改善其长期效果。

方法

对12例在隆乳术后1至13年出现并发症的患者进行研究。对乳房植入物的纤维包膜进行病理检查。

结果

12例患者(15侧乳房)纳入研究。在单侧隆乳术的9例患者中,4例有1种并发症;4例有2种并发症,1例有3种并发症。在双侧隆乳术的3例患者中,2例有相同并发症,1例有3种并发症。每种并发症都有其病理和临床特征。

结论

许多措施对于减少并发症很重要,包括严格的手术操作、正确选择优质植入物、优先选择肌下植入、假体破裂或渗漏时行全包膜切除术以及彻底止血、适当包扎、按摩和随访等。

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