3.0T MR对隆乳后乳腺的诊断价值
发布时间：2019-07-03 14:20
【摘要】：目的 :探讨3.0T MR对3种隆乳术后乳腺及其并发症的诊断价值。方法 :对80例160只隆乳后乳房行MRI平扫及动态增强扫描,对假体及植入/注入物的MRI表现进行分析,影像学表现均与病理或临床进行对比。结果:132例64只乳房行硅胶假体置入术,其中15只假体包膜皱缩;4只假体囊内破裂,其中1例伴浸润性导管癌;2只假体囊内外均破裂,其中1例伴感染;3只乳腺实质内见异常强化肿块,其中2例为纤维腺瘤,1例为浸润性导管癌;1例伴窦道形成;242例84只乳房行聚丙烯酰胺水凝胶注射隆乳术,其中46只假体假包膜不完整,见假体游离;8只假体内见多发线样低信号分隔;4例双侧假体形态不对称,1例为假体移位,3例为假体假包膜破裂伴感染;1例假体取出后发现浸润性导管癌;1例合并浸润性导管癌;35例10只乳房行自体脂肪移植术,4只移植脂肪坏死伴肉芽肿样反应;41例2只乳房行双重隆乳术。结论:3.0T MRI是评价隆乳术后情况的理想方法,T2-tirm及T2-FS序列可以准确显示植入/注入物的形态、层次,明确假体是否破裂及漏出物的分布范围,为临床手术提供准确定位,同时动态增强可以鉴别乳腺内肿块并及时发现乳腺实质内合并的其他良恶性病变。
[Abstract]:Objective: To study the diagnostic value of 3.0T MR on the breast and its complications after three augmentation mammaplasty. Methods: The MRI features of 80 cases of 160 patients with augmentation mammaplasty and dynamic enhanced scanning were performed, and the MRI features of the prosthesis and the implant/ implant were analyzed and the imaging performance was compared with the pathology or the clinical. Results:132 cases of 64-only breast-row silicone prosthesis were put into operation,15 of them were contracted,4 were intravescular rupture, one of them with invasive ductal carcinoma, and 2 cases of internal and external rupture of the periprosthetic capsule, one of them with infection, and 3 of the three mammary glands were found to be abnormal, Among them,2 were fibroadenomas,1 case of invasive ductal carcinoma,1 case of invasive ductal carcinoma, and 242 cases of 84 breast-row polysomalamine hydrogel injection for augmentation mammaplasty,46 of which were not complete with the prosthesis, see the free of the prosthesis, and 8 of them were separated by multiple-line-like low-signal; 4 cases of bilateral prosthesis were not symmetrical,1 case was prosthesis shift,3 cases were prosthesis false envelope rupture and infection,1 case of invasive ductal carcinoma was found after the prosthesis was taken out,1 case with invasive ductal carcinoma,35 cases of 10 breast-line autograft,4 transplantation of fat necrosis with a granuloma-like reaction; Of the 41 cases,2 breast-row double-augmentation mammaplasty was performed. Conclusion: 3.0T MRI is an ideal method for evaluating the postoperative condition of the augmentation mammaplasty. The T2-tirm and T2-FS sequences can accurately display the morphology and the level of the implant/ implant, determine the fracture of the prosthesis and the distribution range of the leakage, and provide accurate positioning for the clinical operation. At the same time, the dynamic enhancement can identify the intramammary masses and find other benign and malignant lesions in the breast parenchyma.
【作者单位】： 南京医科大学第一附属医院放射科;
【基金】：江苏高校优势学科建设工程资助项目(JX10231801)
【分类号】：R445.2;R655.8
[Abstract]:Objective: To study the diagnostic value of 3.0T MR on the breast and its complications after three augmentation mammaplasty. Methods: The MRI features of 80 cases of 160 patients with augmentation mammaplasty and dynamic enhanced scanning were performed, and the MRI features of the prosthesis and the implant/ implant were analyzed and the imaging performance was compared with the pathology or the clinical. Results:132 cases of 64-only breast-row silicone prosthesis were put into operation,15 of them were contracted,4 were intravescular rupture, one of them with invasive ductal carcinoma, and 2 cases of internal and external rupture of the periprosthetic capsule, one of them with infection, and 3 of the three mammary glands were found to be abnormal, Among them,2 were fibroadenomas,1 case of invasive ductal carcinoma,1 case of invasive ductal carcinoma, and 242 cases of 84 breast-row polysomalamine hydrogel injection for augmentation mammaplasty,46 of which were not complete with the prosthesis, see the free of the prosthesis, and 8 of them were separated by multiple-line-like low-signal; 4 cases of bilateral prosthesis were not symmetrical,1 case was prosthesis shift,3 cases were prosthesis false envelope rupture and infection,1 case of invasive ductal carcinoma was found after the prosthesis was taken out,1 case with invasive ductal carcinoma,35 cases of 10 breast-line autograft,4 transplantation of fat necrosis with a granuloma-like reaction; Of the 41 cases,2 breast-row double-augmentation mammaplasty was performed. Conclusion: 3.0T MRI is an ideal method for evaluating the postoperative condition of the augmentation mammaplasty. The T2-tirm and T2-FS sequences can accurately display the morphology and the level of the implant/ implant, determine the fracture of the prosthesis and the distribution range of the leakage, and provide accurate positioning for the clinical operation. At the same time, the dynamic enhancement can identify the intramammary masses and find other benign and malignant lesions in the breast parenchyma.
【作者单位】： 南京医科大学第一附属医院放射科;
【基金】：江苏高校优势学科建设工程资助项目(JX10231801)
【分类号】：R445.2;R655.8
【参考文献】
相关期刊论文 前4条
1 何晖;梁长虹;郑君惠;;乳房假体植入后破裂及漏出的MRI表现[J];临床放射学杂志;2008年06期
2 吕玲玲;李发成;;自体脂肪移植隆乳技术[J];中国美容医学;2012年11期
3 陈学强,陈平有,张云枢,罗庆华,徐蓉;聚丙烯酰胺水凝胶注射隆乳术并发症的MRI诊断[J];中华放射学杂志;2005年02期
4 林涛;谢毓芝;余强;罗济程;;隆乳术后的MRI表现[J];中华放射学杂志;2006年04期
【共引文献】
相关期刊论文 前10条
1 田瑞霞;连娟;童璐;陈永超;杨艳婷;;彩色多普勒超声宽景成像技术在乳腺塑形中的应用[J];安徽医学;2010年11期
2 曹毅媛;夏黎明;饶晶晶;杜p，
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