摘要
目的:探讨聚丙烯酰胺水凝胶注射隆胸后并发症的临床表现和原因及处理方法。方法:应用计算机检索1993-01/2009-10中国期刊全文数据库、万方数据库相关文章。检索有关聚丙烯酰胺水凝胶隆乳后的并发症分析及治疗研究文章,关键词为"聚丙烯酰胺水凝胶,注射隆乳,并发症"。排除重复研究、普通综述或Meta分析类文章,筛选纳入21篇文献进行评价。结果:聚丙烯酰胺水凝胶注射隆乳并发症的种类及特点:①硬结、疼痛、肿胀、感染、发热、无菌性炎症、渗漏、移位等。②同一患者常数种并发症共存,而以其中一、二种为主。③乳房内包块为分散的,位于乳腺组织内,表现为多发的,深浅不一,表浅的可直接位于皮下。聚丙烯酰胺水凝胶注射隆乳并发症的处理方法:肿胀稀释负压吸引术,该方法一般用于凝胶集中而硬结及其他合并症较少的患者,而且不适合于硬结弥散的处理;手术切除水凝胶浸润的腺体组织,水凝胶弥散渗入到周围组织中,需彻底清除,否则就会侵及正常组织;切开引流间断灌洗术,严重感染者,建立双向引流、间断灌洗,符合外科原则。结论:根据患者的具体情况,分别采用不同方法处理水凝胶注射隆乳术后并发症是切实有效的可行方法。
OBJECTIVE：To investigate the clinical manifestations of complications after polyacrylamide hydrogel injection for breast augmentation,the causes and the treatment.METHODS：A computer search was performed in China Academic Journal Full-text database and Wanfang Database from January 1993 to October 2009 for articles related to the complications after breast augmentation using polyacrylamide hydrogel and treatment research,using key wordsof ＂polyacrylamide hydrogel,injection for augmentation,complications＂ in Chinese.The repeated study,general review or Meta analysis were excluded,21 articles were screened into the evaluation.RESULTS：The type and characteristics of the complications after polyacrylamide hydrogel injection for breast augmentation are as follows：① induration,pain,swelling,infection,fever,aseptic inflammation,leakage,displacement,etc;② several complications co-exist in the same patient,and the first and second are dominant;③ breast mass is dispersed and locates in mammary gland tissue,often multiple and non-uniform,superficial mass can be directly located subcutaneously.The treatments of the complications of polyacrylamide hydrogel injection for breast augmentation are as follows：swelling dilution vacuum aspiration,is generally used for patients with gel concentrated but few induration and other complications,it is not suitable for treatment of dispersed induration;Surgical excision of glandular tissue infiltrated by hydrogels,the gels diffuse and infiltrate into surrounding tissues and should be removed completely,otherwise it will affect normal tissue;incision drainage and intermittent lavage,severe infection patients should be treated by two-way drainage and intermittent lavage,which is consistent with the principles of surgery.CONCLUSION：According to the specific conditions of patients,different methods used to deal with hydrogel injection for breast augmentation is feasible and effective.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2010年第34期6429-6432,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
