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乳房植入物的包膜挛缩和波纹畸形。

Capsular contracture and ripple deformity of breast implants.

作者信息

Nicolle F V

出版信息

Aesthetic Plast Surg. 1996 Jul-Aug;20(4):311-4. doi: 10.1007/BF00228461.

DOI:10.1007/BF00228461
PMID:8791569
Abstract

Our surgical understanding and preference for an implant design suggests that location of the implant in the retromuscular plane gives an aesthetically better looking clinical result, there is less rippling when the chest wall is vertical, and the implant flattens when the patient is lying supine. An implant with a textured posterior wall and smooth anterior wall assists adherence of the implant at the desired level. It also induces a pseudo-bursa over its anterior surface which, being larger than the implant surface, allows it to flatten naturally when the patient is lying or raising the arm. A gel-filled implant gives the most natural quality to an implant and the contents displace less readily and therefore do not tend to cause rippling.

摘要

我们对外科植入物设计的理解和偏好表明,将植入物置于肌后平面能获得外观更美观的临床效果,胸壁垂直时波纹较少,患者仰卧时植入物会变平。后壁有纹理而前壁光滑的植入物有助于将植入物固定在所需位置。它还会在其前表面诱导形成一个假囊,该假囊比植入物表面大,使植入物在患者平躺或举臂时能自然变平。凝胶填充的植入物能赋予植入物最自然的质感,其内容物不易移位,因此不易产生波纹。

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引用本文的文献

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本文引用的文献

1
Histologic comparison of breast implant shells with smooth, foam, and pillar microstructuring in a rat model from 1 day to 6 months.在大鼠模型中,从第1天到6个月,对具有光滑、泡沫和柱状微结构的乳房植入物外壳进行组织学比较。
Plast Reconstr Surg. 1995 Feb;95(2):354-63. doi: 10.1097/00006534-199502000-00016.
2
Occurrence and activity of myofibroblasts in human capsular tissue surrounding mammary implants.乳腺植入物周围人包膜组织中肌成纤维细胞的发生与活性
Plast Reconstr Surg. 1981 Dec;68(6):905-12. doi: 10.1097/00006534-198112000-00010.
3
Objective clinical assessment of fibrous capsular contracture.
纤维包膜挛缩的客观临床评估
Plast Reconstr Surg. 1982 May;69(5):794-801. doi: 10.1097/00006534-198205000-00010.
4
Capsular contracture: hard breasts, soft data.包膜挛缩:乳房变硬,数据却很薄弱。
Clin Plast Surg. 1988 Oct;15(4):521-32.
5
Textured or smooth implants for breast augmentation? A prospective controlled trial.隆乳用纹理状还是光滑型植入物?一项前瞻性对照试验。
Br J Plast Surg. 1991 Aug-Sep;44(6):444-8. doi: 10.1016/0007-1226(91)90204-w.