[1]朱小平,方柏荣.包膜综合处理及假体置换联合大分子透明质酸注射治疗隆乳术后包膜挛缩[J].中国美容医学,2024,(8):30-33.
　ZHU Xiaoping,FANG Bairong.Comprehensive Capsular Treatment and Prosthesis Replacement Combined with Macromolecular Hyaluronic Acid Injection to Treat Capsular Contracture after Breast Augmentation[J].Medical Aesthetics and Beauty,2024,(8):30-33.
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包膜综合处理及假体置换联合大分子透明质酸注射治疗隆乳术后包膜挛缩()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年8期
页码:
30-33
栏目:
出版日期:
2024-08-10

文章信息/Info

Title:
Comprehensive Capsular Treatment and Prosthesis Replacement Combined with Macromolecular Hyaluronic Acid Injection to Treat Capsular Contracture after Breast Augmentation
文章编号:
1008-6455（2024）08-0030-03
作者:
朱小平1; 2; 方柏荣1
(1.中南大学湘雅二医院整形美容烧伤外科 湖南 长沙 410011 ;2.长沙鹏爱医疗美容医院 湖南 长沙 410011 )
Author(s):
ZHU Xiaoping1; 2;  FANG Bairong1
( 1.Department of Plastic Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; 2.Changsha Pengai Medical Aesthetic Hospital, Changsha 410011, Hunan, China)
关键词:
大分子透明质酸; 隆乳; 包膜挛缩; 假体置换; 复发
Keywords:
macromolecular cross-linked hyaluronic acid;  breast augmentation;  capsular contracture;  prosthetic replacement;  relapse
分类号:
R622
文献标志码:
A
摘要:
目的：探讨包膜综合处理及假体置换联合大分子透明质酸注射治疗隆乳术后包膜挛缩的效果。方法：选择2014年5 月-2021年4月笔者医院收治的29例假体隆乳后包膜挛缩患者为研究对象，患者年龄21～53岁，初次假体隆乳后1～6年，平均 2.3 年，其中Baker分级Ⅲ级21例，Ⅳ级8例，单侧3例，双侧26例。采用乳晕切口，完全去除乳房增厚包膜11例，包膜松解18 例，均置换假体。在隆乳术后即刻或术后48 h内，每侧注入大分子透明质酸10～20 ml，用于预防包膜再次挛缩。结果：29例 患者术后即刻均获得满意外形，随访1～5年，乳房外形保持良好，柔软度好，无乳房疼痛、硬块和乳头感觉缺失，Baker分 级Ⅰ级22例，Ⅱ级7例，无假体破裂、乳房下垂及上移等并发症。结论：包膜综合处理及假体置换联合大分子透明质酸注射 治疗隆乳术后包膜挛缩疗效好，且能有效降低乳房包膜再次挛缩的概率。
Abstract:
Objective To investigate the eff ect of comprehensive capsular treatment and prosthesis replacement combined with macromolecular hyaluronic acid injection in the treatment of capsular contracture after breast augmentation. Methods From May 2014 to April 2021, 29 patients with capsular contracture after breast augmentation in the author’s hospital were selected as the research objects, aged 21-53 years, 1-6 years after the fi rst breast augmentation, with an average of 2.3 years. There were 21 cases of Baker grade Ⅲ, 8 cases of grade Ⅳ, 3 cases of unilateral and 26 cases of bilateral. Using areola incision, the thickened breast capsule was completely removed in 11 cases, and the capsule was released in 18 cases, and all of them were replaced with prostheses. Macromolecule hyaluronic acid 10-20 ml was injected into each side immediately or within 48 hours after breast augmentation to prevent capsular contracture again. Results All patients were followed up for 1 to 5 years, the breast shape and softness were good, and there was no breast pain, hard mass and loss of nipple sensation. There were 22 cases of Baker grade Ⅰ and 7 cases of Baker grade Ⅱ. Conclusion Comprehensive capsular treatment and prosthesis replacement combined with macromolecular hyaluronic acid injection are eff ective in the treatment of capsular contracture after breast augmentation, and can eff ectively reduce the probability of capsular contracture again.

相似文献/References:

[1]叶飞轮,徐 杨,邓 萌,等. 脂肪干细胞辅助自体颗粒脂肪移植用于隆乳的临床对照研究[J].中国美容医学,2018,(03):32.
　YE Fei-lun,XU Yang,DENG Meng,et al. Clinical Comparative Study on Adipose-derived Stem Cell Assisted Autologous Granular Fat Transplantation for Augmentation Mammoplasty[J].Medical Aesthetics and Beauty,2018,(8):32.
[2] 彭昌兵 综述,杨 力 审校. 自体脂肪颗粒隆乳术进展及并发症防治现状[J].中国美容医学,2021,(3):183.
　 PENG Chang-bing,YANG Li.Progress of the Technology in Autologous Fat Granule Breast Augmentation and theReatment of Complications[J].Medical Aesthetics and Beauty,2021,(8):183.

更新日期/Last Update: 2024-08-05