Plast Reconstr Surg:影响隆胸并发症和再次手术的因素分析

2019-01-12 MedSci MedSci原创

在乳房美容手术中使用植入物可能导致并发症,导致再次手术的可能。本研究在单个外科医生的实践中检查隆胸后的结果,并研究植入物选择和手术技术对并发症和再次手术的影响。对超过15年的单个外科医生的前瞻性维护数据库进行了回顾性研究。包括所有初级双侧隆胸患者。植入物特征-包括植入物类型,填充物,形状,表面和投影;切口型和口袋位置-收集。使用生存分析并发症和再次手术的原因。结果,研究纳入了一千五百三十九名接受3

在乳房美容手术中使用植入物可能导致并发症,导致再次手术的可能。本研究在单个外科医生的实践中检查隆胸后的结果,并研究植入物选择和手术技术对并发症和再次手术的影响。

对超过15年的单个外科医生的前瞻性维护数据库进行了回顾性研究。包括所有初级双侧隆胸患者。植入物特征-包括植入物类型,填充物,形状,表面和投影;切口型和口袋位置-收集。使用生存分析并发症和再次手术的原因。

结果,研究纳入了一千五百三十九名接受3078个植入物的患者。植入物类型包括596个形状的纹理凝胶,515个圆形光滑盐水,192个圆形纹理凝胶和236个圆形光滑凝胶植入物。随访时间范围为0~155个月(平均18个月)。并发症和再手术率分别为6.8%和7.7%。乳房下切口和形状纹理凝胶植入物的使用与较低的并发症发生率相关。使用双平面II或III口袋,植入体积超过400 cc,与并发症的发生率较高有关。全投射圆形植入物具有与中等投射装置相当的并发症和再次手术率。纹理形状的凝胶植入物和下部的口袋位置都与最低的包膜挛缩率相关。

总之,该回顾性分析结果表明,植入和技术相关因素可能影响乳房植入手术的并发症和再次手术。

原始出处:

Somogyi RB, Brown MH. Outcomes in primary breast augmentation: a single surgeon's review of 1539 consecutive cases. Plast Reconstr Surg. 2015 Jan;135(1):87-97. doi: 10.1097/PRS.0000000000000773.

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    2019-06-24 丁鹏鹏
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    2019-09-04 drj2003
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    2019-01-17 清风拂面

    谢谢分享学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1711791, encodeId=a1ee1e11791d6, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Sun Jun 23 16:24:00 CST 2019, time=2019-06-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1758069, encodeId=d6dc1e58069ca, content=<a href='/topic/show?id=84ba49031f9' target=_blank style='color:#2F92EE;'>#并发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49031, encryptionId=84ba49031f9, topicName=并发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a27e37327108, createdName=丁鹏鹏, createdTime=Mon Jun 24 08:24:00 CST 2019, time=2019-06-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1977581, encodeId=3a6919e7581a3, content=<a href='/topic/show?id=d9e5130962f' target=_blank style='color:#2F92EE;'>#NST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13096, encryptionId=d9e5130962f, topicName=NST)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=80c5136, createdName=drj2003, createdTime=Wed Sep 04 14:24:00 CST 2019, time=2019-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=358479, encodeId=36a23584e914, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Thu Jan 17 23:17:38 CST 2019, time=2019-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=358222, encodeId=fc033582225e, content=好吧,为了美……, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18741984753, createdName=smartxiuxiu, createdTime=Tue Jan 15 15:47:40 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396476, encodeId=798b13964e6a3, content=<a href='/topic/show?id=77ec9842412' target=_blank style='color:#2F92EE;'>#隆胸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98424, encryptionId=77ec9842412, topicName=隆胸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Mon Jan 14 12:24:00 CST 2019, time=2019-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=358063, encodeId=b241358063bc, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Sun Jan 13 23:45:26 CST 2019, time=2019-01-13, status=1, ipAttribution=)]
    2019-01-15 smartxiuxiu

    好吧,为了美……

    0

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  7. [GetPortalCommentsPageByObjectIdResponse(id=1711791, encodeId=a1ee1e11791d6, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Sun Jun 23 16:24:00 CST 2019, time=2019-06-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1758069, encodeId=d6dc1e58069ca, content=<a href='/topic/show?id=84ba49031f9' target=_blank style='color:#2F92EE;'>#并发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49031, encryptionId=84ba49031f9, topicName=并发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a27e37327108, createdName=丁鹏鹏, createdTime=Mon Jun 24 08:24:00 CST 2019, time=2019-06-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1977581, encodeId=3a6919e7581a3, content=<a href='/topic/show?id=d9e5130962f' target=_blank style='color:#2F92EE;'>#NST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13096, encryptionId=d9e5130962f, topicName=NST)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=80c5136, createdName=drj2003, createdTime=Wed Sep 04 14:24:00 CST 2019, time=2019-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=358479, encodeId=36a23584e914, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Thu Jan 17 23:17:38 CST 2019, time=2019-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=358222, encodeId=fc033582225e, content=好吧,为了美……, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18741984753, createdName=smartxiuxiu, createdTime=Tue Jan 15 15:47:40 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396476, encodeId=798b13964e6a3, content=<a href='/topic/show?id=77ec9842412' target=_blank style='color:#2F92EE;'>#隆胸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98424, encryptionId=77ec9842412, topicName=隆胸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Mon Jan 14 12:24:00 CST 2019, time=2019-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=358063, encodeId=b241358063bc, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Sun Jan 13 23:45:26 CST 2019, time=2019-01-13, status=1, ipAttribution=)]
    2019-01-13 清风拂面

    谢谢分享学习

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