双平面法假体再置入在隆乳术后包膜挛缩治疗中的应用

Application of dual-plane prostheses re-insertion in treatment of capsular contracture after augmentation mammaplasty

目的 探索假体隆乳术后并发包膜挛缩的有效治疗方法.方法 选取自2007-2009年在我科就诊的25例胸大肌下假体隆乳术后并发包膜挛缩的患者,在完整切除挛缩的包膜后应用双平面法置入乳房假体.结果 对25例患者随访3 ～ 12个月,其中2例乳房变硬,为BakerⅡ级,经保守治疗后痊愈;术后乳房柔软,更富弹性,形态美观,无乳房下垂及假体上移等并发症发生.结论 双平面法隆乳术是治疗假体隆乳术后并发包膜挛缩的有效方法.

Objective To search for the perfect therapy for the capsular contracture after implant augmentation mammaplasty.Methods Twenty-five patients suffered firom severe capsular contracture after subpectoral augmentation mammaplasty were included in this study during 2007-2009.After total capsulectomy were performed in all patients and the dual-plane augementation mammaplasty with silicon gel prostheses was perfor,ed immediately.Results After 3 to 12 months following up on 25 patients.postoperatively,all were satisfied with soft,elastic and beautiful breast except for 2 cases with capsular contracture （Baker Ⅱ degree） which were recovered by conservative treatments.There were no any complications,like mastoptosis and upwards malposition of prostheses.Conclusion The dual-plane breast augementation is the effective method to treat the capsular contracture after breast augementation with prosthesis and total capsulectomy contributes to softer and more elastic and beautiful breast shape.