聚丙烯酰胺水凝胶注射隆乳术并发症23例分析

Analysis of complications induced by polyacrylamide hydrogel injection for augumentation mammaplasty

目的对23例聚丙烯酰胺水凝胶注射隆乳术后出现的并发症进行分析,探讨注射隆乳术的临床应用问题。方法通过对接受注射者症状、体征归纳总结,分别行彩色多普勒超声仪检查和病理检查。结果注射物分布层次杂乱,同时有周围组织病理改变,手术亦不能彻底清除。结论手术操作不规范是出现并发症的主要原因,但聚丙烯酰胺水凝胶本身也出现一定程度的不良反应,其安全性值得商讨。

Objective To analyze the complications induced by polyacrylamide hydrogel injection for augumentation mammaplasty, explore the reason of the complication. Methods Twenty three patients with complications after polyacrylamide hydrogel injection were classified by signs and symptoms, ultrasound and pathologic examinations were made. Results The main complications were pain, hard nodule, asymmetry and breast deformation.. The injected material was distributed diffusely behind gland, in gland, in muscles or subcutaneous., even out of breast, caused some pathologic changes and it＇s hard to be cleaned completely from normal tissue. Conclusions The complications were caused mainly by incorrect manipulation during operation, others might be relative to the injected material. The reliability of this injection method for augumentation should be cautiously observed.