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find Keyword "隆乳术" 5 results
  • ANALYSIS OF THE COMPLICATION ABOUT SILICONE GEL IMPLANTS IN AUGME NTATION MAMMAPLASTY

    Along with the wide application of silicone gel implants in augmentation mammaplasty, more complications appeared. The author reported 24 cases of complicationssince 1989, including one case of heamtoma, one case of infection, two cases of injury of the sensory nerves to the nipple, four cases of asymmetric breast (as ymmetry in position and size), three cases of deformed appearance, six cases of constracture of the fibrous coating membrane, one case of rupture of prosthesis,one case of sinus formation and three cases of abnormal milk secretion. The causes of the complications and their prevention were discussed.

    Release date:2016-09-01 11:16 Export PDF Favorites Scan
  • 隆乳术后并发症分析

    【摘要】 目的 总结隆乳术并发症原因及相应处理方法。 方法 对2004年3月-2005年10月收治的15例隆乳术并发症患者,采用乳房下皱褶切口或乳晕切口进行处理与治疗。 结果 15例均行假体取出术,其中7例一期行再次假体隆胸术。 结论 隆乳术后并发症依次为纤维包膜挛缩,假体破裂、渗漏,假体移位。聚丙烯酰胺水凝胶注射隆乳术后出现并发症逐渐增多,应引起重视。

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  • 隆乳术后使用静脉自控镇痛泵的镇痛效果调查分析

    目的对静脉自控镇痛泵(PCIA)用于隆乳术后疼痛的镇痛效果进行调查分析,为更好地选用PCIA提供参考。 方法从2013年1月-11月收治的隆乳术患者中随机抽取62例患者,根据患者是否同意使用镇痛泵,将患者分为观察组及对照组,采用视觉模拟评分(VAS)方法,对观察组及对照组的镇痛效果分别进行评分。 结果观察组术后各时点VAS评分均低于对照组,差异均有统计学意义(P<0.05),观察组各时段镇痛效果均优于对照组;观察组不良反应多于对照组,两组间不良反应发生率差异无统计学意义(P>0.05)。 结论镇痛泵对隆乳术后疼痛治疗相比传统止痛方法值得临床推广。

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  • PRIMARY STUDY ON CONTRALATERAL BREAST SYMMETRIZATION MAMMAPLASTY IN BREAST RECONSTRUCTION

    ObjectiveTo explore the techniques and short-term effectivness of contralateral breast symmetrization mammaplasty in breast reconstruction. MethodsBetween February 2014 and December 2015, 11 patients received immediate or delayed breast reconstruction after nipple-sparing mastectomy (6 and 5 cases respectively) for contralateral breast symmetrization mammaplasty. The age ranged 36-55 years (mean, 45 years). The disease duration was from 7 days to 6 months (mean, 2.5 months) in 6 patients undergoing immediate breast reconstruction. According to tumor TNM staging, 2 cases were rated as TisN0M0, 3 cases as T1N0M0, and 1 case as T2N0M0. The duration was from 2 to 25 years (mean, 8 years) in 5 patients undergoing delayed breast reconstruction. The implant (7 cases) and latissimus dorsi (4 cases) were used for breast reconstruction; and breast augmentation (6 cases) and breast reduction (5 cases) were performed for contralateral breast symmetrization. ResultsOne patient had local poor wound healing postoperatively and was cured; primary healing was obtained in the other patients, and no other postoperative complication of infection, implant exposure or capsular contracture was found. The patients were followed up 3 to 24 months (mean, 12 months). The reconstructive outcomes were excellent in 9 cases and good in 2 cases, with an excellent and good rate of 100%. There was no recurrence or metastasis. ConclusionSimultaneous contralateral symmetrization with augmentation/reduction mammaplasty after breast reconstruction can obtain satisfactory symmetric outcomes.

    Release date:2016-10-21 06:36 Export PDF Favorites Scan
  • Analysis of risk factors related to periprosthetic infection after breast augmentation

    Objective To explore the risk factors related to periprosthetic infection after breast augmentation, and to provide a basis for reducing the risk of postoperative infection. Methods A total of 1 056 female patients who underwent breast augmentation between January 2010 and January 2018 were analyzed retrospectively. The patients were 20 to 44 years old (mean, 31.6 years). The body mass index (BMI) was 19.0-31.1 kg/m2, with an average of 24.47 kg/m2. According to the periprosthetic infection standard of the United States Centers for Disease Control and Prevention (CDC), the patients were divided into infection group and non-infection group. Age, BMI, diabetes, previous history of immunosuppression, history of smoking, previous history of breast surgery, previous history of mastitis, combined with active dermatitis, surgical approach, the type and shape of breast prosthesis, implant in the different layers, combined with mastopexy, operation time, postoperative antibiotic time, postoperative breast crash, and postoperative potential infection surgery were analyzed by univariate analysis. The influencing factors of prosthetic infection were screened by logistic regression. Results Periprosthetic infection occurred in 60 cases after operation, and the infection rate was 5.68%. Among them, 11 cases were acute infection, 33 cases were subacute infection, 16 cases were delayed infection, and 20 cases were positive in bacterial culture. Postoperative breast crash occurred in 114 cases. Univariate analysis showed that diabetes, previous history of immunosuppression, history of smoking, previous history of mastitis, postoperative breast crash, postoperative potential infection surgery, and combined with breast suspension were the influencing factors of postoperative periprosthetic infection (P<0.05). Multivariate analysis showed that diabetes, history of smoking, and postoperative breast crash were the risk factors of periprosthetic infection (P<0.05). Conclusion Diabetes, smoking, and postoperative breast crash are the risk factors of periprosthetic infection after breast augmentation.

    Release date:2019-06-20 03:12 Export PDF Favorites Scan
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