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术内血管压缩剂的使用不会增加微血管性乳房切除术后重建的并发症:在1729个DIEP片的经验中,在单个中心中使用DIEP片的经验
Alice Zhu1, Amanda Perrotta1, Vincent Choi1
1Division of Plastic and Reconstructive Surgery and Division of Surgical Oncology, University Health Network, Department of Surgery, University of Toronto, Canada.
概括
术内血管压缩剂对于DIEP片乳房重建是安全的,对片存活没有不良影响. 避免血管压缩剂会导致增加液体输送和并发症,强调它们在微手术中的好处.
科学领域:
- 整形外科 整形外科 整形外科
- 微手术 微手术是一种微手术.
- 乳房重建 乳房重建
背景情况:
- 血管压缩剂在微手术中经常被避免,因为人们担心自由的存活率.
- 这项研究调查了手术内血管压缩剂对DIEP片乳房重建结果的影响.
研究的目的:
- 为了评估手术内血管压缩剂对DIEP片乳房重建中的微手术结果的影响.
- 确定血管压缩剂的使用是否影响片存活率,并发症或其他临床结果.
主要方法:
- 从2010年1月到2020年5月,对1729个DIEP片乳房重建的回顾性图表审查.
- 在接受手术内血管压缩剂 (乙烯,乙烯或两者) 和未接受的患者之间比较微手术结果.
主要成果:
- 血管压缩剂和非血管压缩剂组之间整体并发症,微血管事件,片损失或回收没有显著差异.
- 血管压缩剂的使用与明显较低的手术内流体体积有关.
- 过度的液体管理,而不是血管压缩剂的使用,与整体并发症的增加显著相关.
结论:
- 术内血管压缩剂不会对DIEP片乳房重建的临床结果产生不利影响.
- 扣留血管压缩剂可能导致过度的静脉注射液体和增加术后并发症.
- 血管压缩剂可以安全地用于DIEP片乳房重建,而不会影响片的存活.
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