摘要
目的:探讨直视下经乳晕切口对假体隆乳术后不同情况下包膜挛缩的有效处理方法。方法:2009年1月～2012年10月,对65例假体隆乳术后包膜挛缩进行治疗,均采用乳晕切口,视原假体植入腔隙及乳腺、胸大肌厚度等条件采取重新剥离腔隙、去除或不去除包膜组织甚至Ⅱ期手术的方法,术中严格止血。结果:本组65例术后均获得随访,随访时间8个月～42个月,平均随访时间15.2个月,术后包膜挛缩复发者2例,其余病例乳房外观均满意。结论:应用直视下乳晕切口对假体隆乳术后包膜挛缩进行个性化的有效处理,术后包膜挛缩复发率较低。
Objective To discuss the effective methods to remove the fibrous capsules after augmentation mammoplasty with periareolar incision. Methods From 2009 Jan to 2012 Oct,65 cases were treated in periareolar incision. According to the different layers of implants and the thickness of breast and pectoralis major, different methods were adopted,such as stripping the layers again, removing or leaving the fibrous capsules or adaping the second-stage operation. All were strictly stopped bleeding. Results 65 cases were all followed up from 8-42months（15.2months on average） postoperatively. 2 cases relapsed of capsular contracture while others got better effects. Conclusion Personalized treatment for capsular contracture after augmentation mammoplasty using periareolar incision can reduce the recurrence.
出处
《中国美容医学》
CAS
2013年第14期1482-1484,共3页
Chinese Journal of Aesthetic Medicine
关键词
隆乳术
纤维包膜挛缩
并发症
mammoplasty
fibrous capsules contracture
complications
