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Medical Diagnosis 2021
超声实时引导麦默通联合水动力系统在注射式隆乳取出术中的应用
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Abstract:
目的：探讨超声实时引导下麦默通真空辅助活检系统联合水动力系统在注射式隆乳剂取出手术中应用的可行性。方法：42例(共78侧乳腺)聚丙烯酰胺水凝胶(Polyacrylamide hydrogel, PAAG)注射隆胸术后合并并发症患者，在实时超声引导的麦默通真空辅助活检系统联合水动力系统及传统手术进行注射物取出手术。结果：78侧乳腺经手术治疗3月后超声复查，A型患者无注射物残留，B型患者中传统手术7例有少量残留，微创手术仅2例胸大肌内见少量聚丙烯酰胺凝胶少量残留，所有患者均无明显术后并发症。结论：该手术方式有着操作简单，残留少，损伤小，安全、可靠的特点，术后切口美观，对于注射物散在分布的患者，可以较彻底的取出，但残留胸大肌及皮肤浅层的患者，还有待进一步的临床探索。此操作简单易行，对既往常规手术后残留的患者可进行再次手术取出，在临床上有一定的应用价值。
Objective: To investigate the feasibility of the application of ultrasonic real-time guided Mammo-tome Vacuum Assisted Biopsy System Combined hydrodynamic system in the Extraction Operation of Polyacrylamide-Hydrogel-Injected Breast Augmentation. Methods: 42Patients (a total of 78 mammary gland) with complications after injection of PAAG were subjected to real-time ultrason-al-guided vacuum assisted biopsy system combined with hydrodynamics system for injection re-moval. Results: 43 sides of the breast were reviewed3 months later after surgery by ultrasonic, no injection residue in type A patients, 7 cases of type B treated by traditional surgery and only 2 cases of type B patients had less PAAG residue in pectoral major. All patients had no obvious postoperative complications. This method is simple, less residual, less injury, safety and reliability. But for patients with residual pectoral are major muscle and superficial skin layer, further clinical exploration is needed. This operation is simple and easy to operate, and can be removed by re-operation in patients with residual residue after previous routine surgery. It has application value in clinic.
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