【摘要】 目的 探讨隆胸假体取出手术方法及术中技巧。 方法 2002年1月-2007年4月，对48例女性隆胸患者行假体取出术，其中聚丙烯酰胺水凝胶（HPAG）注射式隆胸41例；硅凝胶假体隆胸7例，其中包膜挛缩4例，硅凝胶假体破裂3例。年龄21~49岁，病程2~18年（平均6年）。回顾性分析上述患者假体取出手术方法及术中技巧。 结果 48例患者术后切口均Ⅰ期愈合。随访3个月，患者症状缓解明显，术后彩超显示假体取出彻底，注射式隆胸患者免疫指标明显好转。 结论 掌握好隆胸假体取出术的适应证，根据不同假体采用相应的手术方法及术中技巧，可以取得良好的手术效果。【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.