MRI对隆乳手术术后患者的诊断价值.PDFVIP

1256 2007 12 22 12 Radiol Practice, Dec 2007, Vol 22, No. 12 # () # MRI 曹毅媛, 夏黎明, 饶晶晶, 杜烜 = :探讨隆乳术后并发症 MRI 影像学特征及不同影像技术的诊断 值: 对32 例63 只隆乳术后出 现症状的乳房行 1. 5T MRI 平扫3D FSE 脂肪抑制水成像及VIBRANT 动态增强扫描: 本组28 例55 只乳房行注 射式水凝胶隆乳术,47 只假体外漏, 双乳不对称4 例, 1例2 只为感染, 1例 1只为假体内出血,3 例3 只为腺体病变1例 行双侧乳房内自体脂肪注射术,乳房下部可见较多脂肪团块3例行双侧乳房硅胶假体植入术, 1例 1 只盐水假体变形, 1 例 1只硅凝胶假体外漏上述影像学表现均与取出术中结果相符:M RI 对诊断隆乳术后外漏并发症有着重要的 值,VIBRANT 序列有助于诊断感染及腺体病变,3D FSE 脂肪抑制水成像序列对水凝胶和硅胶盐水假体的整体显示有显 著的优势 = 磁共振成像; 乳房成形术; 乳房植物物; 乳房植入 = R445. 2; R619; R655. 8 = A = 1000-0313(2007) 12-1256-03 DiagnosticValue of Magnetic ResonanceImaging in Postoperative Complications of Breast Augmentation CA Y-i yuan,XIA Li-ming, RA Jing-jing,et al. Department of Radiology, Tongji Hospital,Tongji Medical College,Huangzhong University of Science and Technology,Wuhan 430030, P. R.China = Abstract Objective:To study the magnetic resonance imaging features of postoperative complications of breast aug- mentation and the diagnostic value of different imaging techniques. Methods:A 1. 5T HD M R scanner was used to perform plain, VIBRANT contrast enhanced scanning and 3D/ FRFSE magnetic resonance hydrography in 63 breasts of 32 patients with breast augmentation. Results: 55 breasts in 28 patients were treated with polyacrylamide hydrogel injection. In 47 breasts, the implants were shown as irregular lumps of gel freely sited in pectoral muscles, mammary glands, subcutaneous fat tissue and so forth. The technique of self-fat injection into both breasts was performed in 1 case and the result of fatty masses was detected in the inferior portions of both breasts. Silicone implants were implanted into both breasts in 3 cases. A saline-filled implant was found in 1 breast of 1 of the 3 cases and another 1 case with silicone gel leaking out in 1 o