Experience of Implants Removal in 48 Breast Augmentation Cases_West China Medical Journal

Authors：

QING Yong ,  CEN Ying , LIU XiaoXue , XU XueWen , Wang HuaiSheng

Department of Plastic and Burn Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R.China;

Corresponding?author：

CEN Ying, Email: blueeyeqingyong@yahoo.com.cn

Keywords：

隆胸; 假體取出

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【摘要】目的探討隆胸假體取出手術方法及術中技巧。方法 2002年1月-2007年4月，對48例女性隆胸患者行假體取出術，其中聚丙烯酰胺水凝膠（HPAG）注射式隆胸41例；硅凝膠假體隆胸7例，其中包膜攣縮4例，硅凝膠假體破裂3例。年齡21~49歲，病程2~18年（平均6年）。回顧性分析上述患者假體取出手術方法及術中技巧。結果 48例患者術后切口均Ⅰ期愈合。隨訪3個月，患者癥狀緩解明顯，術后彩超顯示假體取出徹底，注射式隆胸患者免疫指標明顯好轉。結論掌握好隆胸假體取出術的適應證，根據不同假體采用相應的手術方法及術中技巧，可以取得良好的手術效果。
【Abstract】Objective To investigate the surgical methods and techniques of implants removal in breast augmentation cases. Methods From January 2002 to April 2007, 48 breast augmentation cases (aging from 21 to 49 years old) were treated with surgical implants removal.Course of disease lasted from 2 years to 18 years，with an average of six years.Polyacrylamide hydrogel injection augmentation was found in 41 cases, silicone gel implants in 7 cases (envelope crispation in 4 and implants rupture in 3). The surgical methods and techniques of implants removal were retrospectively analyzed. Results After three months’ fellow-up, all patients healed in stage 1 and presented obvious relief of symptoms.Implant was cleared compelely through color doppler test.Immune index recovered in polyacrylamide hydrogel injection augmentation cases. Conclusion If the indication and surgical methods and techniques of implants removal are mastered thoroughly, good results could be achieved.

Citation： QING Yong,CEN Ying,LIU XiaoXue,XU XueWen,Wang HuaiSheng. Experience of Implants Removal in 48 Breast Augmentation Cases. West China Medical Journal, 2010, 25(7): 1226-1228. doi: Copy

1.	Gabriel SE, Woods JE, O’Fallon WM, et al. Complications leading to surgery after breast implantation[J]. N Engl J Med, 1997, 336(10): 677-682.
2.	Spear SL, Bogue DP, Thomassen JM, et al. Synmastia after breast augmentation[J]. Plast Reconstr Surg, 2006, 118(7): 168-171.
3.	孫亞非, 趙瑞慶. 美容外科注射聚丙烯酰胺水凝膠后的病理觀察及分析[J]. 山西醫藥雜志, 2004, 33(7): 588-589．.
4.	Rohrich RJ, Adams WP Jr, Potter JK, et al. A review of psychological outcomes and suicide in aesthetic breast augmentation[J]. Plast Reconstr Surg, 2007, 119(1): 401-408.
5.	Esther C, Lawrence L, Barbara S, et al. Meta-Analyses of the relation between Silicone breast implants and the risk of connective-tissue diseases[J]. N Engl J Med, 2000, 342(11): 781-790.
6.	萬蕓, 姚文青, 張王粦. 隆胸術及其并發癥的X線特征[J]. 現代臨床醫學生物工程學雜志, 2003, 9(1): 29-31.
7.	畢偉, 梁斌. HPAG取出硅凝膠假體隆胸術25例報道[J]. 醫學理論與實踐, 2005, 18(8): 940.
8.	歐陽春, 黃勝華, 于國中. 經腋路內鏡技術處理隆乳術的術后并發癥-附16例報告[J]. 新醫學, 2005, 36(11): 654-655.
9.	何冬梅, 趙啟明, 陸新, 等. 即時二次隆乳術的探討[J]. 中國美容醫學, 2006, 15(11): 1254-1255.
10.	茅東升, 夏東勝, 趙啟明, 等. 假體置入與聚丙烯酰胺水凝膠注射隆乳術并發癥臨床觀察[J]. 中國美容醫學, 2003, 12(4): 372-373.

1. Gabriel SE, Woods JE, O’Fallon WM, et al. Complications leading to surgery after breast implantation[J]. N Engl J Med, 1997, 336(10): 677-682.
2. Spear SL, Bogue DP, Thomassen JM, et al. Synmastia after breast augmentation[J]. Plast Reconstr Surg, 2006, 118(7): 168-171.
3. 孫亞非, 趙瑞慶. 美容外科注射聚丙烯酰胺水凝膠后的病理觀察及分析[J]. 山西醫藥雜志, 2004, 33(7): 588-589．.
4. Rohrich RJ, Adams WP Jr, Potter JK, et al. A review of psychological outcomes and suicide in aesthetic breast augmentation[J]. Plast Reconstr Surg, 2007, 119(1): 401-408.
5. Esther C, Lawrence L, Barbara S, et al. Meta-Analyses of the relation between Silicone breast implants and the risk of connective-tissue diseases[J]. N Engl J Med, 2000, 342(11): 781-790.
6. 萬蕓, 姚文青, 張王粦. 隆胸術及其并發癥的X線特征[J]. 現代臨床醫學生物工程學雜志, 2003, 9(1): 29-31.
7. 畢偉, 梁斌. HPAG取出硅凝膠假體隆胸術25例報道[J]. 醫學理論與實踐, 2005, 18(8): 940.
8. 歐陽春, 黃勝華, 于國中. 經腋路內鏡技術處理隆乳術的術后并發癥-附16例報告[J]. 新醫學, 2005, 36(11): 654-655.
9. 何冬梅, 趙啟明, 陸新, 等. 即時二次隆乳術的探討[J]. 中國美容醫學, 2006, 15(11): 1254-1255.
10. 茅東升, 夏東勝, 趙啟明, 等. 假體置入與聚丙烯酰胺水凝膠注射隆乳術并發癥臨床觀察[J]. 中國美容醫學, 2003, 12(4): 372-373.

West China Medical Journal

Experience of Implants Removal in 48 Breast Augmentation Cases

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