The Value of Multi-slice CT in the Diagnosis of Complications Due to Breast Augmentation_West China Medical Journal

Authors：

 YuanZhentuan , ZhangXiaoge

Department of Medical Imaging, the Second People's Hospital of Chengdu, Chengdu, Sichuan 610017, P. R. China;

Corresponding?author：

Keywords：

Multi-slice CT; Breast augmentation; Prosthesis in the breast; Complications

DOI：

10.7507/1002-0179.201600424

Video：

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Objective To evaluate the clinical value of multi-slice CT in the diagnosis of complications due to breast augmentation. Methods We collected the imaging data of 32 female patients who accepted multi-slice CT examination in the second People's Hospital of Chengdu after breast augmentation between February 2010 and February 2015. The position, shape, edge, internal density, leakage, rupture and hard nodules of the prosthesis were observed and analyzed carefully. Results In the 32 patients with breast augmentation, 12 were normal with bilateral symmetry and without abnormal shape or density. Among the other 20 patients, 11 had capsular contracture, 5 had prosthesis leakage, rupture and hard nodules, 4 had breast infection, 1 had fibroadenoma, 1 had cystoma, and 5 had little calcified nodules in the breast tissue. Conclusion The multi-slice CT scan can clearly and accurately show the position, shape and size of the breast prosthesis as well as the existence of leakage, rupture and hard nodules in the prosthesis. It plays a very important role in the diagnosis of the complications due to breast augmentation and can be effective guidance for clinical operation.

Citation： YuanZhentuan, ZhangXiaoge. The Value of Multi-slice CT in the Diagnosis of Complications Due to Breast Augmentation. West China Medical Journal, 2016, 31(9): 1558-1560. doi: 10.7507/1002-0179.201600424 Copy

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12.	王蓼, 胡竺, 水淼, 等. MRI對聚丙烯酰胺水凝膠注射隆乳術后并發癥的診斷[J]. 實用放射學雜志, 2012, 28(8):1211-1213.
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18.	Middleton MA, Mattreg RF, Dobke MK. Accuracy of high-resolution Mr imaging of breast implant[J]. Radiology, 1994, 193:318.

1. 李武銘, 文華, 黃海玲, 等. 磁共振乳腺成像在聚丙烯酰胺水凝膠注射隆乳術后的評價應用分析[J]. 中國CT和MRI雜志, 2014, 12(4):22-25.
2. 李剛, 蘇順清, 覃達賢, 等. MRI在聚丙烯酰胺水凝膠注射隆乳術后并發癥的診斷價值[J]. 中國臨床醫學影像雜志, 2013, 24(4):247-250.
3. 葉飛輪, 高富雷. MRI在聚丙烯酰胺水凝膠注射隆乳術后并發癥診治中的應用[J]. 現代臨床醫學, 2011, 37(4):284-285.
4. 黃和平, 艾志偉, 陳建國, 等. 高頻彩超在隆乳術后并發癥診治中的應用分析[J]. 中國美容醫學, 2014, 23(2):113-115.
5. 姜王妹, 鄭九林, 程沛鉉, 等. CT在隆胸術后并發癥診斷中的應用[J]. 現代實用醫學, 2013, 25(10):1163-1164.
6. 蘭振興, 唐凱森, 高蘭香, 等. 注射隆胸術后并發癥62例分析[J]. 中國實用醫刊, 2010, 37(16):84.
7. 方玲. 乳腺假體植入后破裂及泄露的MRI表現[J]. 中華放射學雜志, 2002:938.
8. 邵文輝, 蒲興旺, 林靖, 等. 聚丙烯酰胺水凝膠注射隆胸術后并發癥分析[J]. 中華醫學美學美容雜志, 2002, 8(3):151-152.
9. 劉學軍, 崔永言, 龍云, 等. 注射聚丙烯酰胺水凝膠隆乳并發癥的分析和處理[J]. 中華醫學美容學雜志, 2007, 13(3):144-147.
10. Kjoller K, Holmich LR, Jacobsen PH, et al. Epidemiological investigation of local complications after cosmetic breast implant surgery in Denmark[J]. Ann Plast Surg, 2002, 48(3):229-237.
11. 唐小平, 肖新蘭, 尹建華, 等. 聚丙烯酰胺水凝膠注射隆乳術后MRI表現及遠期組織病理學變化[J]. 放射實踐雜志, 2011, 26(2):194-198.
12. 王蓼, 胡竺, 水淼, 等. MRI對聚丙烯酰胺水凝膠注射隆乳術后并發癥的診斷[J]. 實用放射學雜志, 2012, 28(8):1211-1213.
13. 楊紅, 樂來發, 鄧運宗, 等. 隆乳術后CT掃描及多平面重建[J]. 現代臨床醫學生物工程學雜志, 2004, 10(1):26-28.
14. 陳蓉, 龔水根, 張偉國. 硅膠乳腺假體破裂的影像學診斷[J]. 第四軍醫大學學報, 2001, 22(6):65-67.
15. 林軍, 歐陽天祥, 肖燕, 等. 影像學檢查在聚丙烯酰胺水凝膠注射隆胸并發癥診治中的應用及意義[J]. 中國美容醫學, 2006, 15(3):260-262.
16. 燕山. 淺表器官超聲診斷[M]. 南京:東南大學出版社, 2005:172-204.
17. 趙啟明, 劉淼, 何冬梅, 等. MRI在PAHG隆乳術后并發癥診治中的應用[J]. 中華美容醫學, 2008, 17(6):807-809.
18. Middleton MA, Mattreg RF, Dobke MK. Accuracy of high-resolution Mr imaging of breast implant[J]. Radiology, 1994, 193:318.

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West China Medical Journal

The Value of Multi-slice CT in the Diagnosis of Complications Due to Breast Augmentation

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