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生物補(bǔ)片在被覆組織過(guò)薄隆乳術(shù)中的應(yīng)用

發(fā)布時(shí)間:2018-08-21 11:18
【摘要】:目的:探討生物型外科補(bǔ)片(生物補(bǔ)片)在被覆組織過(guò)薄隆乳術(shù)中應(yīng)用的手術(shù)技巧和臨床效果。方法:經(jīng)乳暈下緣切口,剝離乳腺后間隙,用縫線牽引法置入生物補(bǔ)片并使之展平,生物補(bǔ)片粗糙面與被覆組織內(nèi)面緊貼,用皮釘法固定生物補(bǔ)片。置入硅凝膠乳房假體行隆乳術(shù)。結(jié)果:2010年7月-2015年11月應(yīng)用該方法共計(jì)12例,其中聚丙烯酰胺水凝膠注射隆乳注射材料取出術(shù)后被覆軟組織過(guò)薄8例,Poland綜合征2例,多次胸大肌后間隙假體隆乳術(shù)后Ⅳ級(jí)包膜攣縮更換假體乳腺后間隙隆乳2例。無(wú)血腫、感染、假體外露等并發(fā)癥發(fā)生。術(shù)后隨訪6個(gè)月~5年,除1例出現(xiàn)Ⅲ級(jí)包膜攣縮外,其余病例乳房外形較術(shù)前明顯改善,患者自覺(jué)滿意。結(jié)論:生物補(bǔ)片有良好的生物相容性和組織相容性,機(jī)械性能滿足隆乳術(shù)中對(duì)抗拉伸強(qiáng)度及柔韌性的要求,易于與被覆軟組織嚴(yán)密縫合;在被覆組織過(guò)薄的隆乳術(shù)中具有增厚被覆軟組織、防止假體外露、增加假體隆乳術(shù)后的自然手感等作用,在此類適應(yīng)癥中具有良好的臨床使用效果。
[Abstract]:Objective: to investigate the technique and clinical effect of biological surgical patch in the application of thin tissue augmentation mammoplasty. Methods: through the incision of the lower edge of the areola, the posterior space of mammary gland was stripped, and the biological patch was inserted and flattened by suture traction. The rough surface of the biological patch was fastened to the inner surface of the coated tissue, and the biological patch was fixed with the skin nail method. Silicone gel breast prosthesis was implanted for breast augmentation. Results: from July 2010 to November 2015, 12 cases were treated with this method, including 8 cases of soft tissue thinning after polyacrylamide hydrogel injection for breast augmentation injection, 2 cases of Poland's syndrome. Stage 鈪,

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