比较两种经乳晕路径乳房聚丙烯酰胺水凝胶取出术

Comparison of two trans-areola approaches in breast polyacrylamide hydrogel removing operations

目的:比较两种经乳晕不同路径行乳房聚丙烯酰胺水凝胶取出手术的效果。方法:2007年1月～2007年7月期间,共35例已育女性患者接受经乳晕路径聚丙烯酰胺水凝胶取出手术。随机分为两组,其中18例采用乳晕缘下半环切口入路,17例采用经乳晕中线切口入路。比较二者手术时间、术后乳房外形,部分随访患者应用B超检查比较残留注射物情况。结果:二者平均手术时间无差异。采用乳晕中线切口入路较乳晕缘切口入路组保留乳房外形效果更好,瘢痕更加隐蔽。所有随访患者于术后3～6月接受B超复查,提示无明显注射物残留。结论:和常规经乳晕缘切口相比,乳晕中线切口入路在美学方面有明显优势。

Objective To compare the trans-areola-median approach with the conventional approach in breast polyacrylamide hydrogel removing operations. Methods 35 patients were randomly allocated into two groups. Group A received breast polyacrylamide hydrogel removing operations through a conventional semi-periareola approach, while group B through a new areola-median approach. In the latter approach, the breast glandular tissues were split and the dissection were made directly posterior to the breast parenchyma. Results The operative time, the perioperative complications, the post-operative breast shape and the residual hydrogel were compared between groups, which produce no statistically significant difference. As for the post-operative breast aesthetic appearance, the group B shows a more satisfactory result. Conclusion The areola-median approach is as the same efficient as the conventional semi-periareola approach in dealing with the polyacrylamide hydrogel injected patients. In addition, the former approach has a superior advantage in aesthetics.