目的

探讨聚丙烯酰胺水凝胶注射式隆乳术后哺乳期感染的最佳处理途径，拟提高该并发症处理的成功率。

方法

对28 例聚丙烯酰胺水凝胶注射式隆乳术后哺乳期感染患者采用手术取出材料、残腔灌洗、药物连续冲洗、负压引流坏死物等综合治疗手段，彻底控制感染与炎症。

结果

28 例患者治疗1～2 周后，乳腺内感染得到控制，残腔及坏死组织全部被清除，感染炎症愈合，完整保留乳房，未有复发。

结论

对注射隆乳感染这类严重并发症，用手术加有效药物控制等方法正确处理，切实有效，能够保持乳房组织结构完整。

Objective

To explore an optimized approach for treatment of breast infection during lactation in women with augmentation mammaplasty with hydrophilic polyacrylamide gel （ HPG）injection in order to raise the success rate of treating the complication.

Methods

Twenty-eight patients who had accepted augmentation mammaplasty with HPG injection appeared breast infection during lactation.Operation was performed to remove the HPG and clear the cavities， and treatment with continuous washing with medicine and negative pressure drainage was carried out.After the combined therapy the infection and inflammation were controlled thoroughly.

Results

The treatment time for all patients was 1 to 2 weeks.The breast infection and inflammation were controlled， and the residual cavity and necrotic tissue were cleared out.All patients were cured.The ultrasonic examination showed no visible HPG or infection in the breast and the breast was completely conserved.No recurrence happened.

Conclusion

For breast infection during lactation in women with augmentation mammaplasty with HPG injection， an effective therapeutic method is surgery combined with efficient antibiotic medicine.A complete breast can be preserved with this treratment.