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真空封闭引流术治疗隆胸术后聚丙烯酰胺水凝胶移位：1例报告

Vacuum sealing drainage in the treatment of migrated polyacrylamide hydrogel after breast augmentation: a case report.

作者信息

Wu Jinfang, Zhang Xudong, Zhao Qiming, Mao Dongsheng, Lu Xin

机构信息

Department of Plastic and Reconstructive Surgery No. 117 PLA Hospital, Hangzhou, China.

出版信息

Breast Care (Basel). 2014 Apr;9(4):273-5. doi: 10.1159/000365954.

DOI:10.1159/000365954
PMID:25404887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4209280/
Abstract

BACKGROUND

Polyacrylamide hydrogel (PAAG) injection for breast augmentation can result in a variety of complications, including implant migration. The migrated PAAG can become colonized by pathogens, resulting in secondary infections which can be extremely difficult to treat.

CASE REPORT

We report the case of a 43-year-old female patient who underwent PAAG injection for breast augmentation. Implant migration was diagnosed 8 years after the initial injection.

CONCLUSION

Here, we report the first use of vacuum sealing drainage as a convenient and effective alternative to manage the complications of extensive PAAG migration after breast augmentation.

摘要

背景

注射聚丙烯酰胺水凝胶（PAAG）进行隆胸可导致多种并发症，包括植入物移位。移位的PAAG可能会被病原体定植，从而导致极难治疗的继发感染。

病例报告

我们报告了一名43岁女性患者的病例，该患者接受了PAAG注射隆胸。在初次注射8年后诊断出植入物移位。

结论

在此，我们报告首次使用负压封闭引流作为一种方便有效的替代方法来处理隆胸后广泛PAAG移位的并发症。

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本文引用的文献

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Arch Plast Surg. 2012 May;39(3):267-9. doi: 10.5999/aps.2012.39.3.267. Epub 2012 May 10.
2
Treatment of breast injection with polyacrylamide hydrogel with infiltrated fascia capsule removal: report on 104 cases.采用筋膜囊完整切除法治疗聚丙烯酰胺水凝胶注射隆乳术后：附 104 例报告。
Aesthetic Plast Surg. 2012 Oct;36(5):1120-7. doi: 10.1007/s00266-012-9928-8. Epub 2012 Jun 9.
3
A review of topical negative pressure therapy in wound healing: sufficient evidence?负压伤口疗法在伤口愈合中的应用综述：证据充分吗？
Am J Surg. 2011 Apr;201(4):544-56. doi: 10.1016/j.amjsurg.2010.04.029.
4
Vacuum-assisted closure therapy increases local interleukin-8 and vascular endothelial growth factor levels in traumatic wounds.负压封闭引流疗法可提高创伤伤口局部白细胞介素-8和血管内皮生长因子水平。
J Trauma. 2009 Mar;66(3):749-57. doi: 10.1097/TA.0b013e318171971a.
5
Effects of vacuum-assisted closure on wound microcirculation: an experimental study.负压封闭引流对伤口微循环的影响：一项实验研究。
Asian J Surg. 2005 Jul;28(3):211-7. doi: 10.1016/S1015-9584(09)60346-8.
6
Quantifying bacterial bioburden during negative pressure wound therapy: does the wound VAC enhance bacterial clearance?负压伤口治疗期间细菌生物负荷的量化：伤口负压封闭引流术（VAC）是否能增强细菌清除能力？
Ann Plast Surg. 2004 Mar;52(3):276-9; discussion 279-80. doi: 10.1097/01.sap.0000111861.75927.4d.