聚丙烯酰胺水凝胶注射隆乳术后并发症的分析与处理

Clinical analysis and management of complications of breast augmentation with injected polyacrylamde hydrogel

目的探讨聚丙烯酰胺水凝胶(PAAG)注射隆乳术后并发症及治疗方法。方法 212例PAAG注射隆乳术后患者,对其术后并发症的临床表现及治疗结果进行回顾性分析总结,寻找理想的治疗和处理方法。结果 212例PAAG注射隆乳术后患者主要的并发症包括乳房硬块或硬结131例、乳房或胸部疼痛65例、注射材料移位28例、发热9例、感染14例、乳房畸形或双侧乳房不对称25例。出现1种临床症状者152例,同时有2种及以上临床症状者60例。所有病例均采用经乳晕切口直视下手术或直接用针抽吸取出PAAG。2种手术方法在切口I期愈合率、术后乳房形态满意率及疼痛缓解率无明显差异,但经乳晕切口直视下手术的PAAG清除率及二次手术率要明显优于直接用针抽吸。结论 PAAG注射隆乳术后并发症较多,经乳晕切口直视下手术是取出PAAG及处理相关并发症的有效方法。

Objective To discuss the clinical manifestation and treatment of the complications caused by injected polyacrylamde hydro-gel（ PAAG） for breast augmentation. Methods This retrospective research was performed among 212 patients who undergoing breast aug-mentation with injected polyacrylamde hydrogel. The clinical manifestation and treatment outcome of the complications were analyzed and summarized,which is aim to search an effective treatment method. Results For the 212 patients,the main complications were breast multi-ple indurations （131 cases）,fever （9 cases）,infection （14 cases）,breast pain （65 cases）,PAAG displacement （28 cases） and secondary deformity or asymmetry （25 cases）. 152 cases experienced one clinical symptom,the rest patients simultaneously undergone no less than two＆nbsp;clinical symptoms. Patients were received open operation with periareolar incision （ surgery group） or vacuum absorption by needle （ aspira-tion group） for dislodging PAAG. No significant difference was found in wound healing,breast shape satisfaction and pain anesis between the two groups. Whilethe surgery group was better than the aspiration group in efficiency for taking out PAAG and the incidence of reoperation, with statistical significance. Conclusion A plenty of complications occurred after breast augmentation with injected polyacrylamde hydrogel, the method of open operation with periareolar incision is a better way for eliminating PAAG and treating the complications.