注射隆乳填充物的微创取出方法

Minimally invasive removal of the filled PAHG of breast augmentation

目的探讨聚丙烯酰胺水凝胶（PAHG）注射隆乳填充物微创取出的有效方法。方法通过文献复习，总结PAHG注射隆乳并发症的诊断和治疗方法。回顾性分析自2011年1月至2013年12月收治的24例患者的临床资料和治疗方法。结果本组共24例患者，注射物均基本取净，双侧取出浑浊液300～1500ml，平均700ml。术后随访6～12个月，所有患者均对手术效果满意。有假体隆乳术需求者，均于术后半年施行手术。结论PAHG注射隆乳填充物的微创取出方法安全、有效，值得临床推广。

Objective To explore the efficient approach of minimally invasive removal of the polyacryl- amide hydrogel（PAHG） filler which were injected for breast augmentation. Methods The diagnostic and treatment techniques were summarized via literature review. Then a retrospective analysis was performed on the clinical data and treatment of 24 patients received in our department from January 2011 to December 2013. Re- sults Almost all of the filler was removed in the 24 cases, while 300 to 1500 ml （mean 700 ml） turbid liquid was removed on both sides. After 6 to 12 months follow-up, satisfactory results were received in all cases. See- ondary breast augmentation with silicone gel implant was performed at 6 months postoperatively. Conclusion It is effective and safe to remove the filled PAHG via minimally invasive surgery, and it is worth spreading in clinic.