聚丙烯酰胺(PAHG)注射隆乳术后的回顾性分析
[Abstract]:Objective: polyacrylamide hydrogel (PAHG) is a colorless and transparent polymer. As a soft tissue filler, it was once considered as a good filling material. Local complications can occur to varying degrees. In this paper, we summarize the treatment process of the patients after polyacrylamide hydrogel injection augmentation mammoplasty, analyze the possible causes of complications, discuss the best clinical treatment scheme, and expect to give clinical experience to the subsequent treatment of this kind of patients. Methods: from January 2012 to March 2015, 89 patients (25-52 years old) received polyacrylamide (PAHG) injection and filling with polyacrylamide (PAHG) outside our hospital were collected. The injection time ranged from 5 to 20 years. The complications after polyacrylamide hydrogel injection and filling were pain in 50 cases, hard knot in 28 cases, poor breast appearance in 22 cases, displacement in 12 cases, rupture infection in 10 cases, hematoma (or serum swelling) in 6 cases, skin rupture and sinus tract in 6 cases. There were 12 patients who had no symptoms but required surgery because of psychological factors. All the patients underwent direct surgery to remove the injection and the capsule, and 10 of them underwent partial pectoralis major muscle resection. The follow-up period was 6 months to 24 months. The complications of polyacrylamide hydrogel extraction and the satisfaction of the patients were investigated. There were 56 cases with poor breast appearance, 10 cases with scar hyperplasia and 7 cases with abnormal nipple areola sensation after polyacrylamide hydrogel removal. There were 7 cases of pain, 3 cases of hematoma, 2 cases of enclosing effusion, 2 cases of delayed English and 2 cases of wound delay. Results: 32 cases were dissatisfied with breast appearance after polyacrylamide hydrogel extraction, and 5 cases received secondary repair operation. 10 cases of scar hyperplasia, secondary repair plus nuclear medicine treatment symptoms relief. Nipple areola was abnormal in 7 cases. There were 7 cases of pain. 3 cases of hematoma were removed by secondary operation. 2 cases of encapsulated effusion were relieved after aspiration. Delayed wound healing in 2 cases, after dressing change treatment, secondary healing. The patients' satisfaction with the operation accounted for 82 percent, and the basic satisfaction was 5.2 percent, but the patients' satisfaction with the appearance was poor. Among them, 36 patients were not satisfied with the shape, but only 15.6 percent of the patients had secondary repair surgery. Improved through prosthesis implantation and self-fat filling. Conclusion: the patients after augmentation mammoplasty with omedine should be treated as soon as possible if they have complications or heavy psychological burden. In our department, open operation was performed on the removal of the injection. The injection and the capsule or denatured tissue were removed thoroughly under the direct vision. But the secondary malformation can be improved by individualized treatment, and the patients are satisfied after operation.
【学位授予单位】:吉林大学
【学位级别】:硕士
【学位授予年份】:2015
【分类号】:R655.8
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