螺旋CT对隆胸术后并发症的临床诊断价值

The Value of Multi-slice CT in the Diagnosis of Complications Due to Breast Augmentation

目的探讨螺旋CT对隆胸术后并发症的临床诊断价值。方法收集2010年2月-2015年2月共32例隆胸术后到成都市第二人民医院影像科接受螺旋CT检查的女性患者的影像学资料,仔细分析假体的位置、形态、边缘、假体内密度及假体周围有无遗漏、破裂及硬结形成情况。结果 32例患者中,12例患者两侧假体对称,形态及密度均未见异常;其余20例患者存在几种并发症,其中假体纤维囊挛缩11例,假体局部破裂遗漏、形成硬结5例,伴发乳腺炎4例,乳腺内发现纤维腺瘤及囊肿各1例,乳腺内点状钙化5例。结论螺旋CT作为一种影像检查方法,对乳腺假体的形态、大小、位置及有无破裂遗漏及硬结情况显示全面、准确,对隆胸术后并发症的诊断及术前指导起着重要作用,值得临床推荐、使用。

Objective To evaluate the clinical value of multi-slice CT in the diagnosis of complications due to breast augmentation. Methods We collected the imaging data of 32 female patients who accepted multi-slice CT examination in the second People＇s Hospital of Chengdu after breast augmentation between February 2010 and February 2015. The position, shape, edge, internal density, leakage, rupture and hard nodules of the prosthesis were observed and analyzed carefully. Results In the 32 patients with breast augmentation, 12 were normal with bilateral symmetry and without abnormal shape or density. Among the other 20 patients, 11 had capsular contracture, 5 had prosthesis leakage, rupture and hard nodules, 4 had breast infection, 1 had fibroadenoma, 1 had cystoma, and 5 had little calcified nodules in the breast tissue. Conclusions The multi-slice CT scan can clearly and accurately show the position, shape and size of the breast prosthesis as well as the existence of leakage, rupture and hard nodules in the prosthesis. It plays a very important role in the diagnosis of the complications due to breast augmentation and can be effective guidance for clinical operation.