根治隆乳后难愈性瘘道的新方法研究

发布时间：2018-03-11 07:41

本文选题：聚丙烯酰胺水凝胶　切入点：注射　出处：《重庆医学》2017年11期 　论文类型：期刊论文

【摘要】：目的探讨根治隆乳后难愈性瘘道的新方法,以期提高愈合有效率。方法选择2013年1月至2016年2月武汉市诠美医学美容门诊收治的注射隆乳术后胸腹壁内聚丙烯酰胺水凝胶(PAAG)混合物移位,造成胸腹壁广泛瘘道的患者178例,将其分为观察组和对照组,每组89例。观察组在清除瘘道后,进一步采用肌膜组织瓣的新设计治疗乳房内瘘道;对照组采取单纯清洗刮去残腔。观察术后创伤愈合面积比例及有效性。结果 PAAG在胸腹壁间隙广泛分布,形成乳腺下、腋窝、胸腹壁瘘道连通。2周时,观察组患者胸腹壁病变面积缩小80%,与对照组病变面积缩小45%比较差异有统计学意义(P0.01)。4周时,观察组胸腹壁病变面积缩小95%,而对照组为71%,两组比较差异有统计学意义(P0.05)。结论乳房内PAAG混合物移位所形成的胸腹壁连通的慢性瘘道是造成胸腹壁内流动性包块与巨大空腔的主要原因,局部肌膜组织瓣可明显促进胸腹壁瘘道愈合。
[Abstract]:Objective to explore a new method for refractory fistula resection after breast augmentation, in order to improve the healing efficiency. Methods from January 2013 to February 2016 in Wuhan City, Quan Mei medical cosmetic clinic from the abdominal wall after augmentation mammoplasty by injecting polyacrylamide hydrogel (PAAG) mixture shift, resulting in 178 cases of thoracic and abdominal wall fistula in patients with extensive, it can be divided into observation group and control group, 89 cases in each group. The observation group in the removal of fistula after further treatment with new design breast muscle membrane flap internal fistula; the control group took a simple cleaning scraping the residual cavity after operation were observed. The healing area ratio and effectiveness. The results of PAAG are widely distributed in the chest and abdominal wall gap, the formation of breast under the armpits, chest and abdominal wall fistula connected.2 weeks, the observation group patients with thoracic abdominal wall lesions area reduced 80%, and the control group the lesion area reduced 45% and there was a statistically significant difference (P0.01) at.4 weeks, the observation group of thoracic and abdominal wall disease Variable area is reduced by 95%, while the control group was 71%, there was significant difference between two groups (P0.05). Conclusion breast PAAG mixture formed by the displacement of chest and abdominal wall connected chronic sinus is caused by the main reason of packet block and the huge cavity flow of abdominal wall, local muscle membrane can obviously promote the healing of tissue flap thoracic and abdominal wall fistula.

【作者单位】：湖北省武汉市诠美医学美容门诊;第三军医大学西南医院整形美容外科医院;
【基金】：国家自然科学基金面上项目(81272102) 重庆市应用开发项目(cstc2014yykfA110015)
【分类号】：R62

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