【作者】 朱晓萍；

【导师】 孙家明；

【作者基本信息】 华中科技大学 ， 整形外科， 2010， 硕士

【摘要】 目的:探讨肿胀技术下经腋窝入路行胸大肌后硅凝胶假体隆乳术的优缺点和可行性。方法:总结2006年9月至2010年2月我院收治的120例乳房发育不良和3例乳房聚丙烯水凝胶注射物取出术后患者的临床病例资料和随访结果。所有病人均采用腋窝入路肿胀技术行胸大肌后硅凝胶假体隆乳术,对手术满意度和术后近期、远期并发症进行系统性回顾分析和总结。结果:采用该手术方法的123例病人中术后近期发现假体上移2例(3只乳房,1.6%),血肿1例(1只乳房, 0.8%),无菌性静脉炎(Mender氏病)3例,其中胸壁2例,上臂内侧1例(2.4%);远期假体上移1例(1只乳房,0.5%),双侧乳房注射物取出术后假体置入,术后发生包膜挛缩,经手术剥除包膜后再次包膜挛缩1例(2只乳房,1.1%)。术后一周对隆乳效果满意者117例(满意率95.1%)。92例随访随访3个月-2年,满意者90例(满意率97.8%)结论:本手术方法并发症少,是安全、有效,值得推广的隆乳术式。更多还原

【Abstract】 Objective: To make an approach of the relative merits and feasibility of augmention mammaplasty with silicone implant and tumescent technique in the pectoral muscle back interspace from axillary fossa incision .Methods: Clinical cases data and follow-up results were summarized in 120 cases with depauperate breast and 3 cases with the operation of dislodging injectant poly propylene hydrogel in the hospital from September 2006 year to Finebruary 2010 year .All patients had been operated on augmention mammaplasty with silicone implant and tumescent technique in the pectoral muscle back interspace from axillary fossa incision. Their satisfactory grades and short-term and long-term complications following the operation had been analyzied restrospectively and summarized systematically.Result : With short-term complications following the operation ,there were two patients with prosthesis breast moving up of 123 cases used this method(3 breasts, 1.6%), 1case of haematoma ( 1 breast ,0.8%), 2 cases in chest wall and 1cases in upper arm wall in the 3 case of sterility phlebitis (Mender disease ) ( 2.4%); With long-term complications following the operation, there was 1case of prosthesis moving up (1 breast ,0.5%),1case of two breasts with dislodging injectant and implanting prosthesis ,generating amicula contracture and amicula contracture again after divest amicula(2 breasts ,1.1%).117 patients were satisfactory with breast augmention after the operation in one week(satisfaction rate 95.1%). In 92 cases follow-up from three months to two years, 91 patients were satisfactory with breast augmention finally(satisfaction rate 97.8%).Conclusion : This method with less imcomplications,safe and effectivity is worth spreading更多还原