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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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.
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1. 李武铭, 文华, 黄海玲, 等. 磁共振乳腺成像在聚丙烯酰胺水凝胶注射隆乳术后的评价应用分析[J]. 中国CT和MRI杂志, 2014, 12(4):22-25.
2. 李刚, 苏顺清, 覃达贤, 等. MRI在聚丙烯酰胺水凝胶注射隆乳术后并发症的诊断价值[J]. 中国临床医学影像杂志, 2013, 24(4):247-250.
3. 叶飞轮, 高富雷. MRI在聚丙烯酰胺水凝胶注射隆乳术后并发症诊治中的应用[J]. 现代临床医学, 2011, 37(4):284-285.
4. 黄和平, 艾志伟, 陈建国, 等. 高频彩超在隆乳术后并发症诊治中的应用分析[J]. 中国美容医学, 2014, 23(2):113-115.
5. 姜王妹, 郑九林, 程沛铉, 等. CT在隆胸术后并发症诊断中的应用[J]. 现代实用医学, 2013, 25(10):1163-1164.
6. 兰振兴, 唐凯森, 高兰香, 等. 注射隆胸术后并发症62例分析[J]. 中国实用医刊, 2010, 37(16):84.
7. 方玲. 乳腺假体植入后破裂及泄露的MRI表现[J]. 中华放射学杂志, 2002:938.
8. 邵文辉, 蒲兴旺, 林靖, 等. 聚丙烯酰胺水凝胶注射隆胸术后并发症分析[J]. 中华医学美学美容杂志, 2002, 8(3):151-152.
9. 刘学军, 崔永言, 龙云, 等. 注射聚丙烯酰胺水凝胶隆乳并发症的分析和处理[J]. 中华医学美容学杂志, 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, 肖新兰, 尹建华, 等. 聚丙烯酰胺水凝胶注射隆乳术后MRI表现及远期组织病理学变化[J]. 放射实践杂志, 2011, 26(2):194-198.
12. 王蓼, 胡竺, 水淼, 等. MRI对聚丙烯酰胺水凝胶注射隆乳术后并发症的诊断[J]. 实用放射学杂志, 2012, 28(8):1211-1213.
13. 杨红, 乐来发, 邓运宗, 等. 隆乳术后CT扫描及多平面重建[J]. 现代临床医学生物工程学杂志, 2004, 10(1):26-28.
14. 陈蓉, 龚水根, 张伟国. 硅胶乳腺假体破裂的影像学诊断[J]. 第四军医大学学报, 2001, 22(6):65-67.
15. 林军, 欧阳天祥, 肖燕, 等. 影像学检查在聚丙烯酰胺水凝胶注射隆胸并发症诊治中的应用及意义[J]. 中国美容医学, 2006, 15(3):260-262.
16. 燕山. 浅表器官超声诊断[M]. 南京:东南大学出版社, 2005:172-204.
17. 赵启明, 刘淼, 何冬梅, 等. MRI在PAHG隆乳术后并发症诊治中的应用[J]. 中华美容医学, 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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