PAHG隆胸取出同期行硅凝胶假体植入术与Ⅱ期行硅凝胶假体植入术的比较

发布时间：2018-05-16 20:10

本文选题：聚丙烯酰胺水凝胶 + 隆胸　；参考：《新疆医科大学》2016年硕士论文

【摘要】：目的:探讨医用聚丙烯酰胺水凝胶注射隆胸后取出,再次行硅凝胶假体置入隆胸的最佳时机。设计:回顾性研究。方法:纳入聚丙烯酰胺水凝胶注射隆胸后未出现不良反应的60例患者,共120只乳房,分成A、B两组,每组各30人,A组PAHG取出术后同期联合行硅凝胶假体植入术,B组PAHG取出术后6个月行硅凝胶假体植入术。硅凝胶假体置入术后观察及随访,记录患者的引流管拔除时间,术后12个月内并发症的发生情况,以及术后1周、6个月、12个月患者满意度的情况。结果:随访12个月,A组较B组患者引流管拔时间经统计学分析差别有统计学意义(P0.05);对两组患者硅凝胶假体植入术后12个月内并发症例数进行统计分析:疼痛、形态不良发生率经统计学分析差别有统计学意义(P0.05);出血及血肿、感染、包膜挛缩发生率经统计学分析差别无统计学意义(P0.05);对两组患者硅凝胶假体植入术后12个月内总的并发症例数进行统计分析差异无统计学意义(P0.05);A组较B组患者硅凝胶假体植入术后1周的满意度经统计学分析差异无统计学意义(P0.05),A组较B组患者硅凝胶假体植入术后6个月、12个月的满意度经统计学分析差异有统计学意义(P0.05)。结论:在聚丙烯酰胺水凝胶取出的患者植入假体后,同期联合硅凝胶假体植入者比二期植入者获得更多的满意度,有较少的并发症发生率,同时放置引流的时间也相应缩短,值得在临床中推广应用。
[Abstract]:Objective: to explore the best time for breast augmentation with polyacrylamide hydrogel after breast augmentation. Design: retrospective study. Methods: sixty patients (120 breasts) with no adverse reaction after breast augmentation injection with polyacrylamide hydrogel were divided into two groups: group A (n = 20) and group B (n = 20). In each group, PAHG was removed in group A and silicone gel prosthesis implantation was performed at the same time. Group B received silicone gel prosthesis implantation 6 months after PAHG removal. After silicone gel prosthesis implantation, we observed and followed up, recorded the time of drainage tube extubation, the occurrence of complications within 12 months after operation, and the satisfaction of patients 1 week, 6 months and 12 months after operation. Results: the time of drainage tube extraction in group A was significantly different from that in group B after 12 months follow-up (P 0.05), and the number of complications within 12 months after silicone gel prosthesis implantation in two groups was statistically analyzed: pain, pain, The incidence of dysmorphism was statistically significant (P 0.05), hemorrhage, hematoma, infection, There was no significant difference in the incidence of capsule contracture between the two groups by statistical analysis, and there was no statistical difference in the total complications within 12 months after silicone gel prosthesis implantation between the two groups. There was no significant difference in satisfaction at 1 week after the implantation of gel prosthesis. The satisfaction of group A was significantly higher than that of group B at 6 months after silicone gel prosthesis implantation, and the satisfaction at 12 months was significantly higher than that in group B (P 0.05). Conclusion: the patients with polyacrylamide hydrogel were more satisfied than those with secondary implantation, and the complications were less, and the time of drainage was shorter than that of the patients who were implanted with polyacrylamide hydrogel at the same time. It is worth popularizing in clinic.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R655.8

【相似文献】