腔镜结合术中彩超取注射式隆乳剂的临床应用(附16例报道)

Application of Endoscopic Surgery Combined with Intraoperative Color Doppler Ultrasound in Removal of Injected Breast Augmentation Agents(Report of 16 Cases)

目的探讨腔镜结合术中彩超取注射式隆乳剂的可行性,总结手术经验并探讨应用价值。方法 2008～2010年期间我院采用腔镜结合术中彩超的方法对16例双侧乳房接受注射聚丙烯酰胺隆乳者进行隆乳剂取出手术,回顾性分析其临床资料。结果经1个切口治疗的乳房18个,2个的4个,3个的10个;切口长0.5～1cm。手术平均时间128.70min/例,术中出血量平均52.67ml/例。无一例中转开刀手术,无一例出现术后出血、感染、引流不畅、隆乳剂残留等并发症,接受取出者均对切口感到满意。术后1～3个月复诊,乳房内无临床可触及的包块,无一例出现乳头、乳晕的感觉障碍;16例行彩超或磁共振复查均无隆乳剂残留。结论腔镜结合术中彩超取注射式隆乳剂是目前理想的隆乳剂取出方法,它具有美容、微创、安全和可以同期切除部分病变的优势,值得临床进一步探索和应用。

Objective To evaluate the effect of endoscopic surgery combined with intraoperative color Doppler ultrasound on removing the injected breast augmentation agents and share our experiences.Methods Sixteen female who accepted the bilateral removal of injected breast augmentation agents through endoscopic surgery combined with intraoperative color Doppler ultrasound between 2008 and 2010 were enrolled in this study.The results,techniques,and advantages of management were analyzed retrospectively.Results One incision was made in 18 breasts,2 in 4 breasts,3 in 10 breasts.The length of incision was 0.5 to 1 cm.The mean operative time was 128.70 min per person.The average amount of bleeding was 52.67 ml per person.Complications such as postoperative bleeding,infection,poor drainage,or breast augmentation agents remain did not happened in all cases.No case was turned into normal operation.Female who accepted this operation were all satisfied with the appearance of incisions.During 1-3 months follow up,neither clinically palpable mass nor sensory disturbance in nipple or areola of breast was observed.Color Doppler ultrasound or magnetic resonance showed 16 cases had been cleared free of breast augmentation agents.Conclusion With the advantages of beauty,safe,minimal invasion,and partial resection of lesions at the same time,endoscopic surgery combined with intraoperative color Doppler ultrasound was an effective approach in the removal of injected breast augmentation agents.