隆乳术纤维包膜硬化与假体容量的关系及其处理

The effects of the volume of the breast implants on the capsule sclerosis and the management of the breast capsule sclerosis after augmentation mammoplasty

目的 :探讨隆乳术后包膜硬化与假体容量的关系及其处理。方法 :4 2 2例受术者分为两组 :实际应用假体容积大于或等于预测假体容积组 (简称A组 )和小于预测假体容积组 (简称B组 ) ,分别为 14 7和 2 75例 ,隆乳术后随访 1～ 6年 ,观察两组术后包膜硬化发生情况 ,同时对 10 6例隆乳术后纤维硬化进行了处理。结果 :A组发生纤维包膜挛缩硬化 2 9例 ( 19.73% ) ,B组发生纤维包膜挛缩硬化 34例 ( 12 .36 % ) ,两组比较有显著性差异 (P <0 .0 5 )。结论 :隆乳术后硅凝胶假体的容量与术后纤维包膜挛缩硬化有一定关系。

Objective:To discuss the relationship between the volume of the breast implants and the capsule sclerosis as well as the management of the breast capsule sclerosis after augmentation mammoplasty.Methods:Two groups were divided in 422 cases:group A with 147 cases where the actually used volume of breast implant was larger than or equal to the predictive volume,and group B with 275 cases where the actually used volume of breast implant was less than the predictive volume.The breast capsule sclerosis after augmentation mammoplasty in both groups was observed in the following 1～6 years,and 106 cases of breast capsule sclerosis were treated in different ways.Results:The breast capsule sclerosis occurred in 29 cases in group A (19.73%) and 34 cases in group B (12.36%),and the difference was significant ( P <0.05).Conclusion:The volume of the breast implants has some effects on the capsule sclerosis after augmentation mammoplasty.