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頁籤選單縮合
題名 | Experience with 304 Cases of Normal Saline Filled Breast Implants=三百零四例生理食鹽水填充義乳之經驗 |
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作者 | 劉貴實; 呂旭彥; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷期 | 8:2 1999.06[民88.06] |
頁次 | 頁79-87 |
分類號 | 416.414 |
關鍵詞 | 義乳; 隆乳手術; Augmentation mammoplasty; Breast implant; Prosthesis; Textured or smooth surface; Capsular contrature; Leakage; Seroma; |
語文 | 英文(English) |
中文摘要 | 自一九九三年至一九九八年在國泰醫院,我們觀察了304例接受生理食鹽水填充義乳作為隆乳手術。其中229例(75%)使用光滑面的義乳,75例(25%)使用粗糙面的義乳。部分義乳包膜攣縮(part of Baker classification grade Ⅲ and grade Ⅳ)與全部義乳漏水的病人接受第二次手術治療。共有10例接受手術。其中5例(1.7%)先前使用光滑面的義乳,5例(6.7%)先前使用粗糙面的義乳。粗糙面的義乳產生併發症需要接受第二次手術治療的比率明顯高於光滑面的義乳並有統計學上的意義(p<0.05)。 另外六個由外院來接受第二次手術治療的病人。他們先前也接受生理食鹽水填充義乳。其中2例(33%)使用光滑面的義乳,4例(67%)使用粗糙面的義乳。這些數據也支持了本院所觀察到的結果。 在開刀過程中,發現組織液囊腫包住粘著纖維膜並摺疊的粗糙面義乳。而漏水就在摺疊的地方。然而光滑面義乳卻是由較厚的包膜所包圍並皺折著。由上述證據,我們認為光滑面的義乳優於粗糙面的義乳並且比較不需要接受第二次手術治療。 |
英文摘要 | We observed 304 cases of augmentation mammoplasty with normal saline-filled breast implants from 1993 to 1998 in Cathay General Hospital (CGH), Taipei, Taiwan. There were 299 cases (75%) using smooth-surface implants and 75 cases (25%) using textured-surface implants. A portion of the Baker classification grade Ⅲ and all grade Ⅳ cases received secondary operations. All of the leakage cases received secondary operations. Ten cases (3.3%) required secondary operation in our group due to capsular contracture or rupture of the previous implants. Five (1.7%) smooth-surface and 5 (6.7%) textured-surface implants were noted with these complications. There was a significantly higher number (p<0.05) of complications which required secondary operations with textured-surface than with smooth-surface implants. Six cases who had previous operations of augmentation mammoplasty in other hospitals were used to support the findings of our series, and we found that there was a greater chance of secondary operations with textured-surface than with smooth-surface breast implants. Therefore, we experienced more unfavorable results with textured breast implants. |
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