Ersek R A
Department of Plastic Surgery, Southwest Texas State University, Austin.
Plast Reconstr Surg. 1991 May;87(5):879-84. doi: 10.1097/00006534-199105000-00012.
Capsular contracture results in dissatisfaction and deformity among the 2 million women who have had silicone implants. The literature describes contracture rates as high as 74 percent. I present a comparison of rates and incidences of contracture in patients augmented with smooth and textured double-lumen silicone implants. A total of 165 "smooth" and 63 "textured" implant patients were included in this study, which spans 12 years, 1978-1990. All patients underwent bilateral aesthetic augmentation performed by the same surgeon. Of the 165 smooth implant patients, 74 (44.8 percent) experienced contractures requiring treatment. Of the 63 textured implant patients, 3 (4.8 percent) previous contracture patients experienced sudden fibrosis within 3 months. All others remained soft. It appears that deeply textured silicone surfaces delay or decrease the rate and incidence of clinical capsular contracture, at least for 2 years.
包膜挛缩导致两百万接受硅胶植入的女性出现不满和畸形。文献记载的挛缩率高达74%。我对使用光滑面和毛面双腔硅胶植入物进行隆乳的患者的挛缩率和发生率进行了比较。本研究共纳入165例使用“光滑面”植入物和63例使用“毛面”植入物的患者，研究跨度为1978年至1990年的12年。所有患者均由同一位外科医生进行双侧美容隆乳手术。在165例使用光滑面植入物的患者中，74例（44.8%）出现需要治疗的挛缩。在63例使用毛面植入物的患者中，3例（4.8%）既往有挛缩的患者在3个月内出现突然纤维化。其他所有患者的乳房仍保持柔软。看来，至少在两年内，深度毛面硅胶表面可延迟或降低临床包膜挛缩的发生率。
