【摘要】：目的 :探討3.0T MR對3種隆乳術(shù)后乳腺及其并發(fā)癥的診斷價值。方法 :對80例160只隆乳后乳房行MRI平掃及動態(tài)增強(qiáng)掃描,對假體及植入/注入物的MRI表現(xiàn)進(jìn)行分析,影像學(xué)表現(xiàn)均與病理或臨床進(jìn)行對比。結(jié)果:132例64只乳房行硅膠假體置入術(shù),其中15只假體包膜皺縮;4只假體囊內(nèi)破裂,其中1例伴浸潤性導(dǎo)管癌;2只假體囊內(nèi)外均破裂,其中1例伴感染;3只乳腺實(shí)質(zhì)內(nèi)見異常強(qiáng)化腫塊,其中2例為纖維腺瘤,1例為浸潤性導(dǎo)管癌;1例伴竇道形成;242例84只乳房行聚丙烯酰胺水凝膠注射隆乳術(shù),其中46只假體假包膜不完整,見假體游離;8只假體內(nèi)見多發(fā)線樣低信號分隔;4例雙側(cè)假體形態(tài)不對稱,1例為假體移位,3例為假體假包膜破裂伴感染;1例假體取出后發(fā)現(xiàn)浸潤性導(dǎo)管癌;1例合并浸潤性導(dǎo)管癌;35例10只乳房行自體脂肪移植術(shù),4只移植脂肪壞死伴肉芽腫樣反應(yīng);41例2只乳房行雙重隆乳術(shù)。結(jié)論:3.0T MRI是評價隆乳術(shù)后情況的理想方法,T2-tirm及T2-FS序列可以準(zhǔn)確顯示植入/注入物的形態(tài)、層次,明確假體是否破裂及漏出物的分布范圍,為臨床手術(shù)提供準(zhǔn)確定位,同時動態(tài)增強(qiáng)可以鑒別乳腺內(nèi)腫塊并及時發(fā)現(xiàn)乳腺實(shí)質(zhì)內(nèi)合并的其他良惡性病變。
[Abstract]:Objective: To study the diagnostic value of 3.0T MR on the breast and its complications after three augmentation mammaplasty. Methods: The MRI features of 80 cases of 160 patients with augmentation mammaplasty and dynamic enhanced scanning were performed, and the MRI features of the prosthesis and the implant/ implant were analyzed and the imaging performance was compared with the pathology or the clinical. Results:132 cases of 64-only breast-row silicone prosthesis were put into operation,15 of them were contracted,4 were intravescular rupture, one of them with invasive ductal carcinoma, and 2 cases of internal and external rupture of the periprosthetic capsule, one of them with infection, and 3 of the three mammary glands were found to be abnormal, Among them,2 were fibroadenomas,1 case of invasive ductal carcinoma,1 case of invasive ductal carcinoma, and 242 cases of 84 breast-row polysomalamine hydrogel injection for augmentation mammaplasty,46 of which were not complete with the prosthesis, see the free of the prosthesis, and 8 of them were separated by multiple-line-like low-signal; 4 cases of bilateral prosthesis were not symmetrical,1 case was prosthesis shift,3 cases were prosthesis false envelope rupture and infection,1 case of invasive ductal carcinoma was found after the prosthesis was taken out,1 case with invasive ductal carcinoma,35 cases of 10 breast-line autograft,4 transplantation of fat necrosis with a granuloma-like reaction; Of the 41 cases,2 breast-row double-augmentation mammaplasty was performed. Conclusion: 3.0T MRI is an ideal method for evaluating the postoperative condition of the augmentation mammaplasty. The T2-tirm and T2-FS sequences can accurately display the morphology and the level of the implant/ implant, determine the fracture of the prosthesis and the distribution range of the leakage, and provide accurate positioning for the clinical operation. At the same time, the dynamic enhancement can identify the intramammary masses and find other benign and malignant lesions in the breast parenchyma.
【作者單位】： 南京醫(yī)科大學(xué)第一附屬醫(yī)院放射科;
【基金】：江蘇高校優(yōu)勢學(xué)科建設(shè)工程資助項目(JX10231801)
【分類號】：R445.2;R655.8

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本文編號：2509461