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目的:对隆胸术后数字化乳腺X线表现进行总结分析,提高对隆胸术后乳腺影像变化及其并发症的诊断水平。方法:收集2010年3月—2015年2月隆胸术后来我院进行数字化乳腺摄影检查者28例,根据其X线表现的不同,进行对比分析。结果:不同材料,不同方法的隆胸术后其X线影像表现不同。本组病例硅胶假体植入17例,注射隆胸(硅胶油或水凝胶)11例。硅胶假体植入X线表现为乳后半圆形阴影,周围腺体受压移位。注射隆胸术后X线表现为片状、结节状、条带状阴影,边缘清晰,密度均匀,而且结构与密度和腺体相似。28例中共有9例患者发生各种并发症,其中硅胶植入者3例,注射隆胸者6例。并发症主要为:纤维囊挛缩,炎症反应,充填物破损外漏,散在结块,以上表现可单独或合并存在。结论:检查前详细询问病史,认真触诊,选择合适的摄影方法,是提供良好影像诊断信息的前提条件。经对比分析硅胶假体植入术后并发症较少。
Objective: To summarize the digital mammography findings after breast augmentation and to improve the diagnostic value of breast mammography and its complications after breast augmentation. Methods: From March 2010 to February 2015, 28 cases of digital mammography were performed in our hospital after augmentation operation. According to their X-ray findings, comparative analysis was performed. Results: Different materials and different methods of breast augmentation showed different X-ray images. The group of silicone implants implantation in 17 cases, injection of breast augmentation (silicone oil or hydrogel) in 11 cases. Silicone implants implanted X-ray showed a semicircular shadow after the milk, the surrounding gland pressure shift. X-ray findings after injection breast augmentation showed flake, nodular, banded shadows, sharp edges, uniform density, and similar in structure and density to glands. A total of 28 patients in a total of 9 patients with various complications, including silicone implants in 3 cases, 6 cases of injection augmentation. Complications are mainly: fibrocapsule contracture, inflammatory response, filling leakage damage, scattered caking, the above performance can be alone or in combination. Conclusion: Before exam, detailed history, careful palpation, select the appropriate method of photography, is to provide a good prerequisite for diagnostic imaging information. After comparative silicone implant implants less complications.