600余例硅凝胶假体隆乳术的体会

600 cases feedback of implants breast by silica gel

目的:总结600余例硅凝胶假体隆乳术的临床经验,探讨硅凝胶假体隆乳术的最佳方案。方法:①选择外囊宽松、手感柔软、大小合适的硅凝胶乳房假体;②乳晕下缘2.5～3cm切口,胸大肌下分离足够大小的腔隙,充分止血后置入假体,腔内置入适量麻醉液、消炎药、止血药等;③术后早期(2天)、到位、持久(3个月以上)的按摩。结果:术后两乳对称、丰满、手感与形态逼真,不影响哺乳。纤维包膜挛缩发生率<1%,医患满意度>98%。结论:要隆出一对手感与形态逼真的乳房的条件是:①好的乳房假体(主要指的是形状、手感、大小合适);②医生的临床经验;③术后早期、到位、持久的按摩;此三点缺一不可。

Objective based on 600 cases feedback of implants breast by silica gel, to find a better solution for the surgery. Methods ①Choose a soft and loose breast silica gel. ②Cutting a line under mammary areola 2.5-3cm, and leave enough lacuna from ectopectoralis, implant silica get breast after stop blood, refill suitable anaesthetic, anticatarrhals,anastaltic,etc.. ③lmportant massage within 2 days after surgery,and positive longer massage 3 months after surgery. Results 2 breasts symmetrical,plump,soft, no effect to suckle. Capsular contracture rate is less than 1%, and satisfaction is more than 98%. Conclusion following conditions are needed to have an ideal implant breast： good breast silica gel, professional doctor,and professional massage.