[1] 唐新辉,李 京,刘 英,等. 内窥镜在假体隆乳术后并发症修复术中的应用[J].中国美容医学,2021,(3):61-63.
　 TANG Xin-hui,LI Jing,LIU Ying,et al. Application of Endoscope in the Repair of Complications after AugmentationMammoplasty with Prosthesis[J].Medical Aesthetics and Beauty,2021,(3):61-63.
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 内窥镜在假体隆乳术后并发症修复术中的应用
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年3期
页码:
61-63
栏目:
出版日期:
2021-03-10

文章信息/Info

Title:
 Application of Endoscope in the Repair of Complications after Augmentation
Mammoplasty with Prosthesis
文章编号:
1008-6455（2021）03-0061-03
作者:
 唐新辉1; 李 京2; 刘 英1; 高 静1; 谢福庚1; 金顺女1
Author(s):
 TANG Xin-hui1; LI Jing2; LIU Ying1; GAO Jing1; XIE Fu-geng1; JIN Shun-nv1
关键词:
 [关键词]内窥镜; 乳房假体; 隆乳术; 并发症; 包膜挛缩; 修复术; 血肿
Keywords:
 Key words: endoscope;  breast prosthesis;  augmentation mammoplasty;  complications;  capsular contracture;  repair;  hematoma
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨内窥镜技术在假体隆乳术后并发症处理和修复术中的应用价值。方法：2010年1月-2020年3月，笔者在收
治的3 051例乳房整形患者中，有假体隆乳术后并发症患者236例，选取其中的105例（术后急性血肿3例、腔隙剥离不到位23
例、腔隙分离过度15例、假体移位12例、包膜挛缩7例、双包膜4例、双泡症7例、左右不对称19例、轻度下垂4例、乳沟过宽
11例等），应用内窥镜技术辅助，采用综合方法进行并发症处理和修复。结果：105例患者中的72例得到有效随访，随访时
间6～24个月。除了2例Ⅳ级包膜挛缩患者，经手术修复后，手感仍为Ⅲ级包膜挛缩，患者自觉已经有明显改善，不再要求处
理。其余患者并发症得到有效处理和修复，原有并发症无复发，患者对修复效果表示满意。结论：内窥镜技术在假体隆乳术
后并发症处理和修复术中，具有可视、微创、精准、可控等优势，值得在临床上推广应用。

Abstract:
Abstract: Objective To investigate the application value of endoscopic technique in the treatment and repair of complications
after augmentation mammoplasty with prosthesis. Methods From January 2010 to March 2020, among 3 051 breast plastic
patients, 236 had complications after augmentation mammoplasty, 105 of which were selected (3 cases of postoperative
acute hematoma, 23 cases of inadequate cavity detachment, 15 cases of excessive cavity separation, 12 cases of prosthesis
displacement, 7 cases of capsule contracture, 4 cases of double capsule, 7 cases of double vesicular disease, 19 cases of left-right
asymmetry, 4 cases of slight ptosis, 11 cases of over width of the cleavage) and the complications were treated and repaired by
comprehensive methods with the aid of endoscopy. Results Of these 105 patients, 72 were followed up effectively, the followup
period ranged from 6 to 24 months. In addition to two patients with grade Ⅳ capsular contracture, the hand feeling was still
grade Ⅲ capsular contracture after surgical repair. The patient’s self-consciousness had improved significantly and no longer
required treatment. The complications of other cases were effectively treated and repaired. The original complications did not
recur, and the patients were satisfied with the repair effect. Conclusion Endoscopic technique has the advantages of visual,
minimally invasive, accurate and controllable in the treatment and repair of complications after augmentation mammoplasty,
which is worth popularizing and applying in clinic.

相似文献/References:

[1]唐新辉,李 京,刘 英,等. 内窥镜辅助假体隆乳的术前精确设计和术中精准控制[J].中国美容医学,2019,(10):1.
　TANG Xin-hui,LI Jing,LIU Ying,et al. Precise Preoperative Design and Intraoperative Control of Endoscope-assistedAugmentation Mammaplasty[J].Medical Aesthetics and Beauty,2019,(3):1.
[2]谢嘉桁,史京萍.乳房置入物相关间变大细胞淋巴瘤的研究进展[J].中国美容医学,2022,(6):186.
　XIE Jiaheng,SHI Jingping.Advances in Breast Implant-associated Anaplastic Cell Lymphoma[J].Medical Aesthetics and Beauty,2022,(3):186.

更新日期/Last Update: 2021-04-13