自制工具联合内窥镜技术隆乳奥美定取出的临床应用

The clinical application of self-designed tool combined with endoscope in removing polyacrylamide hydrogel injected for augmentation mammoplasty

目的：探讨自制乳房注射物取出双用匙联合内窥镜辅助下行注射隆乳奥美定取出术的临床应用价值。方法：通过对28例患者的51只乳房在自制乳房注射物取出双用匙及内窥镜辅助下行注射隆乳奥美定取出术,对于自制工具的使用方法、应用心得、与内窥镜联合应用的优劣及手术效果等进行比较分析。结果：51只乳房注射式隆乳填充物奥美定在自制乳房注射物取出双用匙及内窥镜辅助下绝大部分被取出,临床效果显著。术中内窥镜下观察创腔无奥美定残留,术后6~12月随访复查,MRI对比术前均匀较高信号影均消失,2例患者MRI仅可见少量散在粗光点。结论：使用自制乳房注射物取出双用匙联合内窥镜辅助下性注射隆乳奥美定取出术手术损伤小,安全、可靠,术后切口美观,在临床上有较高应用价值。

Objective To explore the clinical application of a self-designed dual-use spoon which aims to remove the breast implants combined with endoscope in removing polyacrylamide hydrogel injected for augmentation mammoplasty. Methods All 51 breasts in 28 patients were under surgeries of removing polyacrylamide hydrogen linjected for augmentation mammoplasty by using a self-designed dual-use spoon combined with endoscope.We were here to introduce the usage and experience of self-designed dual-use spoon,compare the advantages and disadvantages of the combination of the spoon with endoscope and then analysis the operative results. Results Most polyacrylamide hydrogel injected for augmentation mammoplasty in these 51 breasts were taken out by using the self-designed dual-use spoon combined with endoscope.Its clinical effect was remarkable.Observing wound cavities by endoscopy during the operation,no polyacrylamide hydrogel was remained.All patients were followed up for 6-12 months.MRI showed that homogeneous high signal was all disappeared postoperation and few scattered light spots were shown in MRI of 2 patients. Conclusions The combination use of self-designed dual-use spoon and endoscope which to remove polyacrylamide hydrogen linjected for augmentation mammoplasty has the advantage of little tissue damage,safety,reliable and beautiful incision.It has a high value in clinical application.