Complications of breast augmentation with injected hydrophilic polyacrylamide gel
Complications of breast augmentation with injected hydrophilic polyacrylamide gel
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DOI：
10.1007/s00266-002-2052-4
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发表时间：
2002-09-01
影响因子：
2.4
通讯作者：
Zhong, H
中科院分区：
文献类型：
--
作者：
Cheng, NX;Wang, YL;Zhong, H
从1997年开始，中国就开始使用从乌克兰进口的可注射异体生物材料--亲水性聚丙烯酰胺凝胶隆乳。在其他诊所注射亲水性聚丙烯酰胺凝胶隆胸后，有12名患者出现了各种并发症，尽管我们的临床实践中没有这样的手术。并发症包括PAAG引起的多发性硬结和肿块4例，哺乳期1例，血肿3例，炎症(感染)2例，持续性乳痛，外形不满意，皮肤感觉异常各1例。所有患者都接受了移除注射凝胶和给予抗生素的治疗。其他手术包括硅胶乳房假体置换、乳房切除术和乳房节段性切除术。我们建议，对于任何未婚或无子女、有出血倾向、乳腺组织较少的年轻女性，注射亲水性聚丙烯酰胺凝胶是隆胸的禁忌症。讨论了预防和处理这些并发症的一些注意事项。
Since 1997, the hydrophilic polyacrylamide gel (PAAG), an injectable alloplastic biomaterial, imported from the Ukraine has been used for augmentation mammaplasty in China. There were twelve patients with various complications visiting our hospitals after breast augmentation with injected hydrophilic polyacrylamide gel by other clinics, even though such procedures are not performed in our clinical practices. The complications included four cases of PAAG-induced multiple induration and lumps, and one with lactation, three cases of hematoma, two cases of inflammation (infection), and persistent mastodymia, unsatisfactory contour results and abnormal skin sensations in each case. All patients have been treated by removing the injected gel and giving antibiotics. Other procedures included replacement by silicon breast prostheses, mammotomy, and segmental mastectomy. We suggest that the injectable hydrophilic polyacrylamide gel be contraindications for breast augmentation in any young female who is not married, or without a child, with a tendency to hemorrhage, and with little mammary tissue. Some considerations to prevent and manage these complications are discussed.