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时间:2020-04-23
《包膜外聚丙烯酰胺水凝胶注射隆乳材料取出同期双平面假体隆乳术-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·8·中国医疗美容2013年第4期ChineseMedicalCosmetology2013·整形外科·包膜外聚丙烯酰胺水凝胶注射隆乳材料取出同期双平面假体隆乳术1234张志波,张斌乾,郝翠玲,杨力(1.云南省普洱市人民医院,云南普洱665000;2.蒙自军分区医疗所,云南蒙自661100;3.云南省玉溪市第二人民医院,云南玉溪653100;4.昆明丽人美容门诊,云南昆明650000)[摘要]目的:对包膜外聚丙烯酰胺水凝胶注射隆乳材料取出术同期行双平面假体隆乳术疗效进行探讨。方法:对患者行局部麻醉或全身麻醉,取乳晕下
2、缘弧形切口入路,将注入的聚丙烯酰胺水凝胶隆乳包裹区域实施包膜外分离,尽量将其与外包膜完整取出,同时在患者胸大肌下进行分离,于乳房下皱处离断胸大肌起点,于游离腔隙内放置设计大小的硅凝胶隆乳假体,于患者胸大肌下腔空隙内置引流管,调整乳房形态满意后逐层缝合各层。结果:本组11名患者均将聚丙烯酰胺水凝胶胶隆乳及其包膜完全取出,术后患者对乳房形态满意,但因手术中对包膜及邻近组织实施剥离范围较大,部分患者放置引流管时间较长,术后引流液较多等,术后2~6天拔管,平均是4.5天。结论:符合条件行包膜外聚丙烯酰胺水凝胶注射隆乳材料取出
3、术同期可行双平面假体隆乳术。该方法易操作、可行性高,且患者对于术后乳房整体形态较为满意。[关键词]聚丙烯酰胺水凝胶;乳房;胸大肌;双平面;假体隆乳术ExtracapsularPolyacrylamideHydrogelInjectionforAugmentationMaterialRemovedEarlierDual-planeAugmentationProsthesis1234ZHANGZhi-bo,ZHANGBin-qian,HAOCui-ling,YANGLi(1.Pu’erPeople’sHospital,P
4、u’er665000,Yunnan,China;2.MengziMilitaryMedicalInstitute,Mengzi661100,Yunnan,China;3.YuxiSecondPeople’sHospital,Yuxi653100,Yunnan,China;4.KunmingBeautyBeautyClinic,Kunming650000,Yunnan,China)Abstract:ObjectiveTotheefficacyofextracapsularpolyacrylamidehydrogelin
5、jectionforaugmentationmaterialremovedearlierbiplaneprostheticaugmentationtreatment.MethodsPatientsweretreatedwithlocalanesthesiaandgeneralanesthesiaforselectingtheloweredgeoftheareolacurvedincision.Theinjectedpolyacrylamidehydrogelimplementationextracapsulargel
6、breastimplantsseparatedandremovedtheouterenvelopeintact,whilepatientswereseparatedunderthepectoralismajortotheinframammarybreastamputationatbigmusclesstart,builtunderthepectoralismajordrainagetubecavity,placedthecorrespondingnormalizedgelbreastimplantsprosthesi
7、sandbreasttissue.Afteradjustingsatisfactionofbreastshapes,layersweresuturedlayerbylayer.Results11patientsgotboththepolyacrylamidehydrogelandencapsulatedgelbreastimplantsremoved.Patientsweresatisfiedwiththebreastshape,buttheorganizationandimplementationofcapsula
8、rsurgeryforstrippingalargerangeofdrainagetubeplacedfortoolong,therewasmorepostoperativedrainageetc.Extubationtimewas3~6daysafteroperation,withanaverageof4.5days.Conclusionex
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