Zhibo Xiao, Miaobo Zhang
Department of Plastic Surgery, 2nd Affiliated Hospital of Harbin Medical University, Harbin City, China.
Aesthet Surg J. 2009 Jan-Feb;29(1):32-4. doi: 10.1016/j.asj.2008.10.008.
Subpectoral breast augmentation is a popular procedure that increases the attractiveness of the female breast. However, this surgical procedure often causes postoperative breast pain.
The author reports a new method of controlling postoperative breast pain following subpectoral augmentation.
Thirty patients were randomly divided into 3 groups of 10 patients each. In all patients, silicone gel prostheses were placed in the subpectoral pocket. Patients in group A received 7.5 mL of 3.5% lidocaine dissolved in fibrin glue. Group B received 7.5 mL of lidocaine alone, and those in group C received 7.5 mL of fibrin glue alone. Breast pain was observed for 1 week postoperatively for all 3 groups. Patients completed questionnaires on each postoperative day in which pain assessment was scored according to a 0 to 3 scale: 0 equaled "no pain" and 3 equaled "worst pain."
Postoperative breast pain reported by patients in group A was significantly less than that reported by patients in groups B and C (P < .05).
Sustained-release lidocaine applied in the subpectoral pocket significantly reduced postoperative pain and discomfort without complications for patients who received cosmetic subpectoral breast augmentation. The relatively small size of the patient group limits the impact of these results; a much larger randomized, double-blind study is planned.
胸肌下乳房增大术是一种常见的手术，可增加女性乳房的吸引力。然而，这种手术常常会导致术后乳房疼痛。
作者报告一种控制胸肌下乳房增大术后乳房疼痛的新方法。
30例患者被随机分为3组，每组10例。所有患者均在胸肌下间隙植入硅胶假体。A组患者接受7.5毫升溶解于纤维蛋白胶中的3.5%利多卡因。B组患者仅接受7.5毫升利多卡因，C组患者仅接受7.5毫升纤维蛋白胶。对所有3组患者术后1周的乳房疼痛情况进行观察。患者在术后每天完成问卷，根据0至3分的评分标准对疼痛进行评估：0分表示“无疼痛”，3分表示“最剧烈疼痛”。
A组患者报告的术后乳房疼痛明显少于B组和C组患者（P <.05）。
对于接受美容性胸肌下乳房增大术的患者，在胸肌下间隙应用缓释利多卡因可显著减轻术后疼痛和不适，且无并发症。患者组规模相对较小限制了这些结果的影响；计划开展一项规模大得多的随机双盲研究。
