自製工具聯合內窺鏡技術隆乳奧美定取出的臨床應用
整形美容
作者：李廣帥 胡曉穎 魏誌茹 劉林嶓
[摘要]目的：探討自製乳房注射物取出雙用匙聯合內窺鏡輔助下行注射隆乳奧美定取出術的臨床應用價值。方法：通過對28例患者的51隻乳房在自製乳房注射物取出雙用匙及內窺鏡輔助下行注射隆乳奧美定取出術，對於自製工具的使用方法、應用心得、與內窺鏡聯合應用的優劣及手術效果等進行比較分析。結果：51隻乳房注射式隆乳填充物奧美定在自製乳房注射物取出雙用匙及內窺鏡輔助下絕大部分被取出，臨床效果顯著。術中內窺鏡下觀察創腔無奧美定殘留，術後6～12月隨訪複查，MRI對比術前均勻較高信號影均消失，2例患者MRI僅可見少量散在粗光點。結論：使用自製乳房注射物取出雙用匙聯合內窺鏡輔助下性注射隆乳奧美定取出術手術損傷小，安全、可靠，術後切口美觀，在臨床上有較高應用價值。
[關鍵詞]雙用匙；內窺鏡；奧美定；隆乳術；取出術
[中圖分類號]R622 [文獻標誌碼]A [文章編號]1008-6455（2015）04-0013-04
The clinical application of self-designed tool combined with endoscope in removing polyacrylamide hydrogel injected for augmentation mammoplasty
LI Guang-shuai， HU Xiao-ying， WEI Zhi-ru， LIU Lin-bo
（Department of Plastic Surgery， The First Affiliated Hospital of Zhengzhou University， Zhengzhou 450052，Henan， China）
Abstract： Objective To explore the clinical application of a self-designed dual-use spoon which aims to remove the breast implants combined with endoscope in removing polyacrylamide hydrogel injected for augmentation mammoplasty. Methods All 51 breasts in 28 patients were under surgeries of removing polyacrylamide hydrogen linjected for augmentation mammoplasty by using a self-designed dual-use spoon combined with endoscope.We were here to introduce the usage and experience of self-designed dual-use spoon，compare the advantages and disadvantages of the combination of the spoon with endoscope and then analysis the operative results. Results Most polyacrylamide hydrogel injected for augmentation mammoplasty in these 51 breasts were taken out by using the self-designed dual-use spoon combined with endoscope.Its clinical effect was remarkable.Observing wound cavities by endoscopy during the operation，no polyacrylamide hydrogel was remained.All patients were followed up for 6-12 months.MRI showed that homogeneous high signal was all disappeared postoperation and few scattered light spots were shown in MRI of 2 patients. Conclusions The combination use of self-designed dual-use spoon and endoscope which to remove polyacrylamide hydrogen linjected for augmentation mammoplasty has the advantage of little tissue damage，safety，reliable and beautiful incision.It has a high value in clinical application.