标题：隆胸术后并发症的针吸细胞学诊断

      作者：龚 萍 1，佟刚强 2
    （1.三峡大学人民医院宜昌市第一医院检验科，湖北 宜昌 443000；
2.当阳中医院检验科，湖北 当阳 443003）

      卷次： 2012年23卷23期

      【摘要】 目的 探讨隆胸术后并发症的针吸细胞学特点、鉴别诊断及其在临床诊断中的意义。方法 收集
我院经针吸细胞学检查诊断10例病例，对其临床表现及针吸细胞学特点进行分析、总结。结果 凝胶聚丙烯酰
胺水凝胶假体植入者7例，其中有1例于凝胶假体植入术后一年针吸为乳腺癌；3例为自体脂肪注入，均有较特异
的形态学特点。结论 针吸细胞学诊断隆胸术后并发症快速、损伤小、操作简便并且准确率高，可以为临床医生
选择合理治疗方案提供重要依据。

      【关键词】 隆胸；并发症；针吸细胞学；鉴别诊断

      【中图分类号】 R713 【文献标识码】 A 【文章编号】 1003—6350（2012）23—107—02<

br>Fine needle aspiration cytology in the diagnosis of complications after breast implant surgery.
GONG Ping 1,
TONG Gang-qiang 2. 1. Department of Clinical Laboratory, the People's Hospital of Three Gorges University (the First
Hospital of Yichang City), Yichang 443000, Hubei, CHINA; 2. Department of Clinical Laboratory, Dangyang Hospital of
TCM, Dangyang 443003, Hubei, CHINA

【Abstract】 Objective To explore the traits of fine needle aspiration cytology (FNAC), differential diagnosis
for complications after breast implant surgery and its significance for clinical diagnosis. Methods The clinical data
of 10 patients undergoing breast implant diagnosed by FNAC were analyzed and summarized, in terms of clinical man-
ifestation and FNAC trait. Results Of the ten patients, seven received polyacrylamide (PAM) as breast implants, in
which one was diagnosed as breast cancer one year after surgery. Three patients had autologous fat as breast implants,
and revealed differential morphological traits. Conclusion FNAC is not only efficient and scar-slight in the diagno-
sis of complications of breast implants, but also simple and accurate. It can be important basis for clinicians to choose
the reasonable treatment solution.

      【Key words】 Breast implant; Complication; Fine needle aspiration cytology (FNAC); Differential diagnosis