注射聚丙烯胺水凝胶隆乳后慢性严重感染的分析与处理

Treatment of the chronic infection following hydrophilic polyacrylamide gel injection for augmentation mammaplasty

目的探讨处理注射聚丙烯胺水凝胶（hydrophilic polyacrylamide gel，HPG）隆乳后慢性迁延性感染的最佳途径，以提高治愈率。方法对注射HPG隆乳后慢性感染患者，结合腹腔镜反复多次手术取出注射材料．大面积彻底刮除残腔异物，灌洗清除感染坏死组织，连续多次进行局部创腔冲洗，负压引流等综合手段，彻底控制感染与炎症。结果126例于治疗1～3周后，乳腺及胸腹壁内感染得到控制．全部清除残腔及坏死组织，创口愈合，乳房及胸腹壁无缺损出现。结论注射HPG隆乳后慢性迁延性感染．手术加有效的药物控制的治疗方法．能在短期内有效消除感染．并保持乳房结构完整而治愈。

Objective Chronic persistent infection following hydrophilic polyacrylamide gel （HPG） injection is one of serious complications in augmentation mammaplasty. It was to search for a perfect treatment for the infection. Methods A total of 126 patients who accepted HPG injection appeared serious chronic infections. Operation was performed to cut out the HPG and necrotic tissues. The cavities were repeatly washed with negative pressure drainage to control the infection. Results All the symptoms were relieved one to 3 weeks after the treatments in 126 cases. The examination showed that no visible HPG and infection remained in the cavity. No defects existed in the breast and chest wall. Conclusions For this infection, the best therapy is to remove the pathologic tissue by surgery and to efficiently control the infection with medication.