Deloach E D, Lord S A, Ruf L E
Department of Surgery (Plastic and Reconstructive), Memorial Medical Center, Savannah, GA.
Ann Plast Surg. 1994 Jul;33(1):68-71. doi: 10.1097/00000637-199407000-00013.
Development of unilateral galactoceles following breast augmentation is reported in 2 young females. Both galactoceles were drained and cultured. In 1 patient the implant was removed and a delayed reinsertion was undertaken. In the second patient the implant was replaced at the time of the drainage procedure. Culture and sensitivity in 1 patient showed no growth and in the second patient revealed Staphylococcus aureus. Although the cause is unknown, galactocele formation may be due to manipulation of breast tissue during surgery. The use of oral contraceptives may also play a role in this process. Hormonal suppression of lactation and removal of the implants may be indicated in these patients. Consideration should be also given to the use of systemic antibiotics directed toward skin pathogens.
据报道,2名年轻女性在隆胸后出现单侧乳腺囊肿。对两个乳腺囊肿均进行了引流和培养。1例患者取出了植入物,并进行了延迟再植入。第二例患者在引流手术时更换了植入物。1例患者的培养和药敏结果显示无细菌生长,另一例患者显示为金黄色葡萄球菌。虽然病因不明,但乳腺囊肿的形成可能是由于手术中对乳腺组织的操作所致。口服避孕药的使用在这一过程中也可能起作用。这些患者可能需要进行激素抑制泌乳和取出植入物。还应考虑使用针对皮肤病原体的全身性抗生素。