生殖器美容注射后填充物诱导的非血栓性肺栓塞。

IF 1.2 4区 医学 Q3 DERMATOLOGY
Journal of Cosmetic and Laser Therapy Pub Date : 2022-11-17 Epub Date: 2022-08-15 DOI:10.1080/14764172.2022.2112231
Hayson Chenyu Wang, Xiao Long
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引用次数: 0

摘要

生殖器美容手术在女性和男性中越来越受欢迎。许多临床医生试图扩大填充注射的应用,将其用于生殖器美容注射。然而,这种手术并不像想象的那么安全,可能会导致致命的肺栓塞并发症。本文就填充物诱发的非血栓性肺栓塞(FINTPE)的临床表现及机制进行综述。检索关键词为“生殖器美容注射、阴道注射、阴道成形术、阴道收紧、阴茎增大、阴茎注射、透明质酸、脂肪移植、肺栓塞、肺泡出血、低氧血症和呼吸困难”,进行文献回顾。纳入11篇文章的14例患者中,女性12例,男性2例。硅胶注射8例,脂肪移植2例,透明质酸注射2例。女性患者均为单一注射部位,其中阴道壁11例,g点1例,男性患者均为阴茎和阴囊注射。主要症状为呼吸困难、胸痛。近60%的FINTPE患者在术后12小时内出现呼吸系统疾病。治疗包括氧疗、皮质类固醇和抗凝。5名患者在平均14.6天的治疗中病情有所好转,7名患者因器官衰竭而死亡。生殖器美容填充注射是实验性的程序,没有严格审查或批准。作为这些手术后的严重并发症,FINTPE需要谨慎处理,仔细预防,及时发现和治疗,以降低其发病率和死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Filler-induced non-thrombotic pulmonary embolism after genital aesthetic injection.

Genital aesthetic procedures have increased in popularity among women and men. Many clinicians tried to expand the application of fill injection by using it for genital aesthetic injection. However, this procedure is not so safe as imagined and may lead to a fatal complication of pulmonary embolism. This article summarizes the clinical manifestations and proposed mechanism of the filler-induced non-thrombotic pulmonary embolism (FINTPE) cases. A literature review was performed with the search keywords including "genital aesthetic injection, vaginal injection, vaginoplasty, vaginal tightening, penile augmentation, penis injection, hyaluronic acid, fat grafting, pulmonary embolism, alveolar hemorrhage, hypoxemia, and dyspnea." Among the 14 cases from 11 articles enrolled, 12 patients were female, and two were male. Eight patients received silicone injection, followed by two received fat grafting and hyaluronic acid injection, respectively. All the female patients had one single injection site, including 11 cases for the vaginal wall and one for G-spot, while all the male patients received injections into the penis and scrotum. The main symptoms were dyspnea and chest pain. Almost 60% of FINTPE patients presented respiratory disorders within 12 hours post-operation. Treatment includes oxygen therapy, corticosteroids, and anticoagulation. Five patients improved with an average of 14.6-day treatment, and seven died due to organ failures. Genital aesthetic filler injections are experimental procedures without being strictly reviewed or approved. As a severe complication following these procedures, FINTPE requires cautious performance, careful prevention, timely identification, and treatment to decrease its incidence and mortality.

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来源期刊
CiteScore
2.50
自引率
0.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: A unique journal that focuses on the application of cosmetic laser and light therapies on the skin. The Journal of Cosmetic & Laser Therapy provides a forum for stimulating and up-to-date studies demonstrating the wide range of therapeutic options for clinicians and surgeons involved in cosmetic and dermatological treatment. The journal is aimed at dermatologists, cosmetic surgeons, plastic and facial plastic surgeons, oculoplastic surgeons and all those interested in the rapidly expanding field of cosmetic and laser therapy. Features include: -Cosmetic surgery, including facial rejuvenation, hair removal and skin resurfacing -Use of lasers and other light sources for cosmetic and dermatological treatment -Applications of peeling agents, fillers, injectables, implants and other cosmetic modalities -Topical treatments -Practical tips and safety issues
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