乳腺后间隙软剥离法注射隆乳术

Augmentation mammoplasty by injection in the soft dissected retro-mammary space

目的 探索准确的乳腺后间隙注射聚丙烯酰胺水凝胶隆乳的方法 ,减少并发症的发生。方法 采用长针穿刺进入乳腺后间隙 ,一点注射 10 0～ 2 0 0ml麻醉药 ,后进行软剥离 ,观察乳房大小形态及手感 ,满意后 ,采用一点连续注射法 ,每侧乳房注入 5 0～ 15 0ml水凝胶。结果 96例患者随访半年以上 ,乳房形态及手感佳。结论 乳腺后间隙软剥离法注射隆乳术 ,可将水凝胶注入在一个完整的腔隙内 ,避免发生注射后硬结 ,且在必要时 ,容易将水凝胶抽出。

Objective To seek for the method of accurate injecting polyacrylamide hydrogel into the retro-mammary space for breast augmentation, and reducing the rate of complication. Methods A long needle puncture is used to locate the retro-mammary space and inject anaesthetic about 100～200?ml, which is called soft dissection, at same time if outer shape and touch feeling of breast is satisfactory, polyacrylamide hydrogel is at one point of breast; if not, the operation is given up. Results All 96 cases have achieved good results both in outer shape and feelings after more than six months follow-up. Conclusion The soft dissected retro-mammary space permits injection of polyacrylamide hydrogel into an integrated space, which avoid confusion of injection layers and induration after operation, and the gel can be totally taken out if necessary.