Andersen B, Hawtof D, Alani H, Kapetansky D
Section of Plastic and Reconstructive Surgery, Providence Hospital, Southfield, Mich.
Plast Reconstr Surg. 1989 Dec;84(6):903-7. doi: 10.1097/00006534-198912000-00006.
This study is a retrospective review of 18 patients treated by the authors and 14 reported patients with ruptured breast implants. A history of trauma was absent in 11 patients; 17 patients had closed capsulotomies. The physical findings of ruptured implants were nodules, decreased breast size, asymmetry, tenderness, and a softer texture. Mammograms were 90 percent accurate when silicone had migrated. In seven of eight false-negative mammograms, silicone was contained within the fibrous capsule. Mammography signs of rupture are summarized. The diagnosis of ruptured implants should be facilitated by recognition of the clinical presentations and radiographic signs.
本研究对作者治疗的18例患者以及报告的14例乳房植入物破裂患者进行了回顾性分析。11例患者无外伤史；17例患者接受了闭合性包膜切开术。植入物破裂的体格检查结果为结节、乳房尺寸减小、不对称、压痛和质地变软。当硅胶迁移时，乳房X线摄影的准确率为90%。在8例假阴性乳房X线摄影中，有7例硅胶被包裹在纤维囊内。总结了乳房X线摄影的破裂征象。通过认识临床表现和影像学征象应有助于诊断植入物破裂。
