乳房假体隆乳术后再次手术的临床分析

Clinical analysis of 40 patients who were re-operated after prosthetic augmentation mammaplasty

目的 总结乳房假体隆乳术后并发症发生的原因 ,以探索最佳的防治方法。 方法 从切口位置、放置层次、假体类型等多方面综合分析了 40例乳房假体隆乳术后并发症发生的原因。 结果 假体包膜挛缩是再次手术的主要原因 ,手术适应证过宽 ,假体质量低劣是术后并发症发生的主要原因。 结论 选用高质量的假体 ,严格手术适应证 ,提高对隆乳术相关知识的理解和掌握以及由专科医师实施手术是减少并发症的关键。

Objective To summarize the reasons of complications after prosthetic augmentation mammaplasty and explore the optimal preventive measures and therapy. Method The reasons for 40 patients who were re operated on after prosthetic augmentation mammaplasty were analyzed in as many aspects as possible, such as the location of the incision, the type of the prosthesis, etc. Preventive measures and therapy of the complications were also summarized. Results Capsular contracture was the most common reason for reoperation. The second was prosthetic rupture and translocation. The main reasons resulting in complications included impertinent indications, poor quality of the prosthesis and an incompetent surgeon. Conclusions The key to reduce the complications is proper selection of good prosthesis, strict indications, better comprehension of the knowledge about prosthetic augmentation mammaplasty and a qualified plastic and aesthetic surgeon for the operation. The inareolar incision is the best choice to remedy the complications.