乳晕切口胸大肌后间隙隆乳纤维包膜挛缩的成因及防治

Causes and prevention of capsular contracture after retro-pectoral space augmention mammaplasty through peri-areolar apprach

阐明应用充注式假体，经乳晕切口，胸大肌后间隙隆乳术纤维包膜的成因及防治措施。回顾我科自１９９２年１２ 月至１９９５ 年６ 月共行充注式假体、乳晕切口、胸大肌后间隙隆乳术１３０ 例。结果：发生纤维包膜挛缩１２ 例。结论：认为术后血肿是发生纤维包膜挛缩的首要原因，所以术中操作要轻柔，减少出血和术后引流十分必要。其次剥离腔隙不充分是发生纤维包膜挛缩的重要条件。第三早期按摩对预防包膜挛缩是有益的。如形成包膜挛缩则需行手术切除松解。

In order to find out the causes and prevention methods of capsular constracture after augmention mammaplasty by peri-areolar approach and filling the retro-pectoral muscular space. Method: Review and analyze 130 cases of the augmention mammplasty by the above way. Results: 12 cases suffered capsular constracture. Conclusion: Our analysis suggests that postoperative hematoma was the primary cause of capsular constracture, so intraoperative diminution of bleeding amount by gentle action and postoperative drainage are important. Secondly: inadequate space stripping was another main reason. Thirdly: early local cheiropractor could be used to prevent capsular constracture. Whenewer contract capsule formed, operation treatment should be performed.