本文選題：聚丙烯酰胺水凝膠　切入點(diǎn)：注射　出處：《重慶醫(yī)學(xué)》2017年11期 　論文類(lèi)型：期刊論文

【摘要】：目的探討根治隆乳后難愈性瘺道的新方法,以期提高愈合有效率。方法選擇2013年1月至2016年2月武漢市詮美醫(yī)學(xué)美容門(mén)診收治的注射隆乳術(shù)后胸腹壁內(nèi)聚丙烯酰胺水凝膠(PAAG)混合物移位,造成胸腹壁廣泛瘺道的患者178例,將其分為觀察組和對(duì)照組,每組89例。觀察組在清除瘺道后,進(jìn)一步采用肌膜組織瓣的新設(shè)計(jì)治療乳房?jī)?nèi)瘺道;對(duì)照組采取單純清洗刮去殘腔。觀察術(shù)后創(chuàng)傷愈合面積比例及有效性。結(jié)果 PAAG在胸腹壁間隙廣泛分布,形成乳腺下、腋窩、胸腹壁瘺道連通。2周時(shí),觀察組患者胸腹壁病變面積縮小80%,與對(duì)照組病變面積縮小45%比較差異有統(tǒng)計(jì)學(xué)意義(P0.01)。4周時(shí),觀察組胸腹壁病變面積縮小95%,而對(duì)照組為71%,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論乳房?jī)?nèi)PAAG混合物移位所形成的胸腹壁連通的慢性瘺道是造成胸腹壁內(nèi)流動(dòng)性包塊與巨大空腔的主要原因,局部肌膜組織瓣可明顯促進(jìn)胸腹壁瘺道愈合。
[Abstract]:Objective to explore a new method for refractory fistula resection after breast augmentation, in order to improve the healing efficiency. Methods from January 2013 to February 2016 in Wuhan City, Quan Mei medical cosmetic clinic from the abdominal wall after augmentation mammoplasty by injecting polyacrylamide hydrogel (PAAG) mixture shift, resulting in 178 cases of thoracic and abdominal wall fistula in patients with extensive, it can be divided into observation group and control group, 89 cases in each group. The observation group in the removal of fistula after further treatment with new design breast muscle membrane flap internal fistula; the control group took a simple cleaning scraping the residual cavity after operation were observed. The healing area ratio and effectiveness. The results of PAAG are widely distributed in the chest and abdominal wall gap, the formation of breast under the armpits, chest and abdominal wall fistula connected.2 weeks, the observation group patients with thoracic abdominal wall lesions area reduced 80%, and the control group the lesion area reduced 45% and there was a statistically significant difference (P0.01) at.4 weeks, the observation group of thoracic and abdominal wall disease Variable area is reduced by 95%, while the control group was 71%, there was significant difference between two groups (P0.05). Conclusion breast PAAG mixture formed by the displacement of chest and abdominal wall connected chronic sinus is caused by the main reason of packet block and the huge cavity flow of abdominal wall, local muscle membrane can obviously promote the healing of tissue flap thoracic and abdominal wall fistula.

【作者單位】： 湖北省武漢市詮美醫(yī)學(xué)美容門(mén)診;第三軍醫(yī)大學(xué)西南醫(yī)院整形美容外科醫(yī)院;
【基金】：國(guó)家自然科學(xué)基金面上項(xiàng)目(81272102) 重慶市應(yīng)用開(kāi)發(fā)項(xiàng)目(cstc2014yykfA110015)
【分類(lèi)號(hào)】：R62

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 王珍祥;戴霞;任校峰;李世榮;吳軍;;聚丙烯酰胺水凝膠注射式隆乳術(shù)后哺乳期感染及其處理[J];中華乳腺病雜志(電子版);2011年01期

【共引文獻(xiàn)】

相關(guān)期刊論文 前7條

1 朱曉浩;馬昕;談希;陳卓;王珍祥;;根治隆乳后難愈性瘺道的新方法研究[J];重慶醫(yī)學(xué);2017年11期

2 石思李;李勝;張秋南;柯祥杰;胡久民;;CT診斷巨大乳腺膿腫1例[J];醫(yī)學(xué)影像學(xué)雜志;2016年11期

3 李志峰;孫井軍;陳建新;;皮下全乳切除及一期假體充填術(shù)治療聚丙烯酰胺隆乳術(shù)后并發(fā)癥[J];中華乳腺病雜志(電子版);2015年06期

4 劉羽;裴斌;李德勝;王謙;艾金偉;;整形外科抗菌藥物管理前后手術(shù)感染率的統(tǒng)計(jì)分析[J];中華醫(yī)院感染學(xué)雜志;2015年15期

5 熊芳;張超杰;范培芝;;注射式隆乳術(shù)后合并乳腺癌一例[J];醫(yī)學(xué)臨床研究;2014年12期

6 于夢(mèng)溪;金洪娟;袁久莉;邵英;劉海鵬;張舵;;奧美定隆胸術(shù)后哺乳期乳房腫大一例[J];中華乳腺病雜志(電子版);2013年03期

7 王旭;;負(fù)壓封閉引流治療注射式隆乳產(chǎn)后并發(fā)急性乳腺炎的臨床觀察[J];中華婦幼臨床醫(yī)學(xué)雜志(電子版);2012年05期

【二級(jí)參考文獻(xiàn)】

相關(guān)期刊論文 前7條

1 司亞卿;王佳辰;崔正軍;劉林]，

本文編號(hào)：1597205