Minimally invasive endoscopic treatment for complications of PAHG injection for augmentation mammaplasty

WU Ji-Dong; et al

doi:10.13406/j.cnki.cyxb.2010.04.019

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Minimally invasive endoscopic treatment for complications of PAHG injection for augmentation mammaplasty

更新时间：2024-01-17

- Minimally invasive endoscopic treatment for complications of PAHG injection for augmentation mammaplasty
- Journal of Chongqing Medical University Vol. 35, Issue 4, Pages: 625-627(2010)
- 作者机构：
  
  重庆医科大学附属第二医院整形美容科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.04.019
  CLC： R655.8
- Published：2010，
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[1]吴继东,李任,牙祖蒙.内窥镜下微创治疗聚丙烯酰胺水凝胶注射隆乳术后并发症[J].重庆医科大学学报,2010,35(04):625-627.

WU Ji-Dong, et al. Minimally invasive endoscopic treatment for complications of PAHG injection for augmentation mammaplasty. [J]. Journal of Chongqing Medical University 35(4):625-627(2010)
[1]吴继东,李任,牙祖蒙.内窥镜下微创治疗聚丙烯酰胺水凝胶注射隆乳术后并发症[J].重庆医科大学学报,2010,35(04):625-627. DOI： 10.13406/j.cnki.cyxb.2010.04.019.

WU Ji-Dong, et al. Minimally invasive endoscopic treatment for complications of PAHG injection for augmentation mammaplasty. [J]. Journal of Chongqing Medical University 35(4):625-627(2010) DOI： 10.13406/j.cnki.cyxb.2010.04.019.

摘要

目的:探讨一种安全、有效、简便的处理聚丙烯酰胺水凝胶（Polyaerylamide hydrogel

PAHG）注射隆乳术后并发症的处理方法。方法:PAHG注射隆乳术后并发症患者47例

术前常规行乳腺B超检查

了解水凝胶分布层次和范围。手术在局麻下进行

乳房下皱襞10mm小切口

内窥镜经切口探入囊内以引导手术

用肿胀液低压稀释PAHG后将之抽除

反复数次

直至囊壁干净、吸出液清亮为止;对于囊外PAHG浸润的组织则于镜下微创切除;安置负压引流管。术后常规使用抗生素。随访时间5～20个月。结果:47例伤口全部一期愈合

无血肿、感染并发症

术后疼痛症状消失

乳腺组织柔软、均匀

无包块或结节

B超检查无明显的PAHG残留

效果满意。结论:内窥镜下微创治疗PAHG注射隆乳术后并发症具有切口小、操作准确、注射物清除彻底、组织创伤小、止血可靠等优点

值得推广。

Abstract

Objective:To search for a safe

effective and convenient treatment for the complications after polyacrylamide hydrogel(PAHG)injection for augmentation mammaplasty.Methods:47 patients with complications after PAHG injection for augmentation mammaplasty were included.B type ultrasound detection was performed Preoperatively in order to find out the distribution of PAHG.After local anesthesia

a 10 mm incision was made at submammary fold of each patients.Under the guidance of endoscope

PAHG was rinsed by tumescent technique at low pressure and aspirated out for several times

until the capsule wall of PAHG was clean and the rinse solution was clear.The infiltrative tissue was excised.Negative pressure drainage tube and antibiotics were used postoperatively and the patients were followed for 5～20 weeks.Results:All incisions were primarily healed

leaving no hematoma or infection.All patients were satisfied with disappearance of pain in the breasts

soft mammary tissue without any noeud and no PAHG remains which was detected by B type ultrasound.Conclusion:Minimally Invasive endoscopic treatment for complications of PAHG injection for augmentation mammaplasty was characterized by its micro-incision

accurate operation

high PAHG clearance

minimal trauma of tissue and reliable hemostasis

worth to be widely used.

关键词

内窥镜聚丙烯酰胺水凝胶隆乳术并发症

Keywords

EndoscopePolyacrylamide hydrogelAugmentation mammaplastycomplications

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