用修改的Munhoz-Cavallieri洗协议来管理酸填充剂诱导的耐火无菌腹:一个案例系列
Fernanda Cavallieri1,2, Gabriela Munhoz3,4, Laila Klotz de Almeida Balassiano3
1Cavallieri Clinic, Rio de Janeiro, Brazil.
Journal of cosmetic dermatology
|September 16, 2025
概括
高剂量的 hialuronidase 有效地治疗了由 hialuronic acid (HA) 填充剂引起的耐火面部无菌. 这种方法与超声波和洗相结合,为HA填充剂并发症提供了成功的管理策略.
科学领域:
- 皮肤病学 皮肤病学
- 审美医学是一种美学医学.
- 医疗成像医学成像
背景情况:
- 使用 hialuronic acid (HA) 填充剂的化品程序激增,导致相关并发症 (如无菌) 的增加.
- 来自HA填充剂的无菌是一个已知的并发症,可能导致变形.
- 超声波 (USG) 是诊断和管理填充物并发症的宝贵工具,尽管缺乏标准化的治疗方案.
研究的目的:
- 报告通过注射氨酸 (HA) 诱导的耐火面部无菌的成功治疗.
- 评估高剂量氨酸酶在治疗这些并发症中的安全性和有效性.
主要方法:
- 在HA填充剂注射后治疗了四名具有耐火性面部无菌的成年女性患者.
- 治疗涉及高剂量的氨酸酶 (22,500258,000 IU) 通过修改的蒙霍兹-卡瓦利埃里洗方案进行.
- 以前的治疗方法包括抗微生物药物,皮质类固醇和简单的排水都没有成功.
主要成果:
- 所有患者都需要两次或更多次洗,至少有48小时的间隔才能完全解决.
- 在所有情况下,都实现了耐火无菌完全消失,没有复发.
- 发现高剂量 hialuronidase 治疗是安全有效的.
结论:
- 正确识别和管理无菌腹是临床实践中有利结果的关键.
- 超声波在诊断,干预指导和对HA填充剂并发症的治疗监测中发挥着至关重要的作用.
- 这项研究强调了高剂量氨酸酶和洗在治疗耐火绝育的疗效,避免长时间的无效治疗.
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