局部浸润麻醉在隆乳术中的应用

The application of local infiltration anesthesia in augmentation mammoplasty

目的 探讨局部浸润麻醉方法在隆乳术中的应用效果。方法 将2 %利多卡因2 0ml加0 .5 %布匹卡因5ml配制成12 0ml局部麻醉液,采用局部浸润麻醉方法为5 6 8例受术者行隆乳手术,根据胸部神经、肌肉的解剖特点,行合理的分布药量和准确有效的注射。结果 5 6 8例隆乳术者,局部浸润麻醉方法均有效,且麻醉效果良好,无一例受术者因分离腔穴时产生疼痛而影响手术操作或停止手术。结论 局部麻醉效果理想可靠,方法简单易行,适用于任何术式的隆乳术。而在分离腔穴时产生的疼痛主要是因注射层次不当和药量分布不均所致,与麻醉方法无关;其麻醉效果与假体置入层次或乳腺胸大肌是否发达无因果关系。

Objective To explore the application of local infiltration anesthesia in the augmentation mammoplasty. Methods Make up 120?ml anesthetic solution with 20?ml lidocaine hydrochloride and 5?ml bupivacaine hydrochloride, according to the anatomical features of the thoracic nerves and muscles and adopting the method of rational dosage distribution, local infiltration anesthesia was used in all 568 cases of augmentation mammoplasty. Results An ideal, reliable, simple, economic and safe results were scored and all operations were finished successfully. No operation was affected or stopped because of pain caused by the separation of cavities. Conclusion The local anesthesia is applicable to all kinds of augmentation mammoplasty. If any pain occurs at the time of separating the cavities, it is caused mainly by the improper layer of the injection or uneven distribution of the medicine, and there is no causality between the anesthetic effect and the implantation layer of prothesis or well-/under-developed mammary gland pectoralis.