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3051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。
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 3051 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 gradeⅣcapsular contracture,the hand feeling was still gradeⅢcapsular 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.
作者
唐新辉
李京
刘英
高静
谢福庚
金顺女
TANG Xin-hui;LI Jing;LIU Ying;GAO Jing;XIE Fu-geng;JIN Shun-nv(Department of Plastic and Cosmetic Surgery,Fuhua Medical and Aesthetic Hospital,Shenzhen 518001,Guangdong,China;Department of Plastic and Cosmetic Surgery,Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine,Nanning 530011,Guangxi,China)
出处
《中国美容医学》
CAS
2021年第3期61-63,共3页
Chinese Journal of Aesthetic Medicine
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
endoscope
breast prosthesis
augmentation mammoplasty
complications
capsular contracture
repair
hematoma
