Li Min, Tang Shengjian
Plastic Surgery Hospital of Weifang Medical College, Weifang Shandong, 261041, P.R.China.
Plastic Surgery Hospital of Weifang Medical College, Weifang Shandong, 261041,
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 Jul 15;33(7):889-893. doi: 10.7507/1002-1892.201901093.
To explore the risk factors related to periprosthetic infection after breast augmentation, and to provide a basis for reducing the risk of postoperative infection.
A total of 1 056 female patients who underwent breast augmentation between January 2010 and January 2018 were analyzed retrospectively. The patients were 20 to 44 years old (mean, 31.6 years). The body mass index (BMI) was 19.0-31.1 kg/m , with an average of 24.47 kg/m . According to the periprosthetic infection standard of the United States Centers for Disease Control and Prevention (CDC), the patients were divided into infection group and non-infection group. Age, BMI, diabetes, previous history of immunosuppression, history of smoking, previous history of breast surgery, previous history of mastitis, combined with active dermatitis, surgical approach, the type and shape of breast prosthesis, implant in the different layers, combined with mastopexy, operation time, postoperative antibiotic time, postoperative breast crash, and postoperative potential infection surgery were analyzed by univariate analysis. The influencing factors of prosthetic infection were screened by logistic regression.
Periprosthetic infection occurred in 60 cases after operation, and the infection rate was 5.68%. Among them, 11 cases were acute infection, 33 cases were subacute infection, 16 cases were delayed infection, and 20 cases were positive in bacterial culture. Postoperative breast crash occurred in 114 cases. Univariate analysis showed that diabetes, previous history of immunosuppression, history of smoking, previous history of mastitis, postoperative breast crash, postoperative potential infection surgery, and combined with breast suspension were the influencing factors of postoperative periprosthetic infection ( <0.05). Multivariate analysis showed that diabetes, history of smoking, and postoperative breast crash were the risk factors of periprosthetic infection ( <0.05).
Diabetes, smoking, and postoperative breast crash are the risk factors of periprosthetic infection after breast augmentation.
探讨隆乳术后假体周围感染的相关危险因素，为降低术后感染风险提供依据。
回顾性分析2010年1月至2018年1月期间共1056例行隆乳术的女性患者。患者年龄20至44岁（平均31.6岁）。体重指数（BMI）为19.0 - 31.1kg/m²，平均为24.47kg/m²。根据美国疾病控制与预防中心（CDC）的假体周围感染标准，将患者分为感染组和非感染组。对年龄、BMI、糖尿病、既往免疫抑制史、吸烟史、既往乳腺手术史、既往乳腺炎病史、合并活动性皮炎、手术方式、乳房假体类型及形状、假体植入层次、合并乳房上提术、手术时间、术后抗生素使用时间、术后乳房撞击及术后潜在感染手术等进行单因素分析。通过logistic回归筛选假体感染的影响因素。
术后发生假体周围感染60例，感染率为5.68%。其中急性感染11例，亚急性感染33例，延迟感染16例，细菌培养阳性20例。术后发生乳房撞击114例。单因素分析显示，糖尿病、既往免疫抑制史、吸烟史、既往乳腺炎病史、术后乳房撞击、术后潜在感染手术及合并乳房上提术是术后假体周围感染的影响因素（P<0.05）。多因素分析显示，糖尿病、吸烟史及术后乳房撞击是假体周围感染的危险因素（P<0.05）。
糖尿病、吸烟及术后乳房撞击是隆乳术后假体周围感染的危险因素。
