乳房整形术后少见并发症-Mondor病30例报告.docVIP

乳房整形术后少见并发症-Mondor病30例报告[摘要]目的:报道乳房整形术后少见并发症-Mondor病,以引起同行重视,并正确处理该病。方法:分析本组30例临床资料,结合文献复习,阐明Mondor病的主要特征、治疗及预后。结果:Mondor病临床虽较少见但时有零星报道,只因其有自限性,加之医生认识不足而有所忽视。结论:Mondor病是一个临床上容易诊断但尚未被普遍认识的疾病,本报道以引起同道关注、认识并正确处理乳房整形术后并发症-Mondor病。 [关键词]乳房整形并发症;Mondor病;胸壁;血栓性浅静脉炎 [中图分类号]R622[文献标识码]A [文章编号]1008-6455(2010)09-1265-02 Rare complications after mammoplasty: 30 cases reported Mondor’s disease LIU Da-lie1,LI De-xin2,ZHA Yuan-kun2,YANG Xiao1 (1.Department of Plastic Surgery,Zhujiang Hospital,the South MedicalUniv,ersity,Guangzhou 510282,Guangdong,China;2.Department of PlasticSurgery,Zhuhai Ping’an Hospital,Zhuhai 519020,Guangdong,China) Abstract:ObjectiveWe reported the first superficial venous thrombosis of the chest wall(Mondor’s disease) in the aesthetic and plastic surgery in China. It’s a rare complication after mammoplasty.MethodsTo expound Mondor’s disease:major characteristic, therapy and outcome by analyzing 30cases data with the documents in the study.ResultsMondor’s disease was a rare disease entity, but it reported from time to time. The incidence would rise,the surgeon acquainted with clinical manifestations for the Mondor’s disease.ConclusionMondor’s disease is one of easy diagnose but one’s knowledge for this is not know generally.The surgeon may treat Mondor’s disease quickly and corretly by the report. Key words:complication after mammoplasty; Mondor’s disease;chest wall;superficial thrombophlebitis 乳房整形术后发生胸璧浅表性血栓性静脉炎(Mondor病)总体来说比较少见,许多临床医生还不够熟习,偶遇此症常不知如何处理。为此,把我们遇到的病例进行分析结合文献作一报道,以其引起美容整形学界对此症的关注、识别与处理。 1临床资料 1.1Mondor病发生率:本文作者在1990.1～2010.4间共施行隆乳手术750例,腋下、乳晕和乳房下皱襞入路者均有,每个切口均有一定病例数量;巨乳缩小30例。两项手术统计共发生Mondor病者30例,其中仅1例巨乳缩小术后,于左胸上腹壁静脉发生静脉炎;另1例乳房下皱襞切口隆乳术后30天,于右胸上腹壁静脉发病。其余28例均在隆乳术后2～4周内,于侧胸壁静脉发病,其中有12例并向上臂内侧扩展延伸。左侧发生者较右侧稍多,基本为单侧发病。病损特点:表浅痛性索状损害,可视或可触及,挺胸疼痛加重,上臂抬举不能,受术者精神紧张[1-2]。本组发生静脉炎的年龄在20～30岁之间,又因手术病例全为女性,故并发静脉炎者也全为女性。3种入路发生几率未作对比统计,因作者腋路隆乳病例较多,所以腋路隆乳术后发生静脉炎者也相对较多。本组资料Mondor病的发生率为3.85%。 1.2治疗方法:受术者出现此并发症后精神都比较紧张,一是局部疼痛,二是怕并发症会影响乳