乳腺微创旋切术与开放手术在注射式隆胸材料取出中的对比研究

Contrastive research on minimally-invasive surgery and open surgery for removal of polyacrylamide hydrogel from breast

摘要:

目的  探讨注射式隆乳剂通过乳腺微创旋切术取出的可行性并总结手术经验。方法  选取54例乳腺注射式隆乳剂患者，其中32例共64只乳房行乳腺真空辅助旋切系统取出术作为观察组，22例共44只乳房注射式隆胸者行开放手术取出作为对照组，对手术方法、手术效果及手术经验进行比较。结果  观察组患者手术时间、术中出血量、住院时间均少于对照组，差异有统计学意义（P <0.01），术后并发症观察组少于对照组，差异有统计学意义（P <0.05），术后3个月随访，美容效果及心理满意度观察组均高于对照组（P <0.05）。结论  应用超声引导下安珂微创旋切系统取出聚丙烯酰胺水凝胶明显优于开放手术，具有手术时间短、创伤小、术中出血少、美容效果好及术后并发症少等优点，值得临床推广。

Abstract:

Objective To explore the feasibility and conclude experience of a minimally-invasive operation for removing the injected augmentation mammaplasty agent. Methods Among the 54 patients who had breast augmentation mammaplasty by injection of polyacrylamide hydrogel (PAHG), 32 patients who had the removal of PAHG by minimally-invasive vaccum-assisted rotary cutting system were taken as the observation group, and 22 patients who had the PAHG removal by open surgery were into the control group. The operation methods, effects and experiences were compared between the two groups. Results The operative time and hospital stay were significantly shorter, the blood loss was significantly less in the observation group than in the control group (P < 0.01). The postoperative complication rate of the observation group was significantly lower than that of the control group (P < 0.05). The excellent rate of cosmetic results and the degree of satisfaction in the observation group were significantly higher than those in the control group (P < 0.05) after a follow-up of 3 months. Conclusions Minimally-invasive system is better for removal of polyacrylamide hydrogel than open surgery.