在60岁以上的患者中评估微血管自主乳房重建
Nisha Parmeshwar1, Laura L Barnes1, Catherine L Dugan1
1From the Division of Plastic Surgery, Department of Surgery, University of California, San Francisco, San Francisco.
Annals of plastic surgery
|June 22, 2023
概括
在60岁以上的患者中,免费翻盖乳房重建显示了可比的结果,没有增加翻盖并发症. 然而,老年患者经历了更多的腹部供体部位问题,需要仔细选择片和患者咨询.
科学领域:
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
- 老年医学 老年医学
背景情况:
- 自由翻盖乳房重建越来越多地被使用,但在老年患者中谨慎地应用.
- 在接受这种手术的老年人群中,结果和供体部位并发症没有得到充分的记录.
- 这项研究调查了微血管自主乳房重建在60岁及以上的患者的安全性和有效性,与年轻的同行相比.
研究的目的:
- 为了比较60岁以上的患者与60岁以下患者的微血管自主乳房重建的结果.
- 专门评估这些年龄组的乳房和捐赠者部位并发症.
- 为了告知外科决策和患者咨询关于老年人自由胸部重建的情况.
主要方法:
- 在2004年1月至2021年1月期间在一个机构进行的微血管自乳房重建的回顾性审查.
- 对人口统计学,手术内和手术后变量的分析,包括乳房和供体部位并发症.
- 60岁以下的患者和60岁以上的患者之间的结局的比较.
主要成果:
- 在年龄组之间没有观察到自由损失,静脉堵塞,回收,血瘤,血清瘤,伤口愈合或感染的显著差异.
- 年轻的队列经历了更高的总乳腺并发症和脂肪亡率.
- 老年患者的腹部供体部位并发症明显增加,包括伤口破坏,需要重新手术,以及腹部凸出或的手术纠正.
结论:
- 微血管自乳房重建在60岁以上的患者中不会导致更糟糕的个体乳房结果.
- 老年患者腹部捐赠部位并发症增加可能与组织衰老有关,在片选择过程中需要考虑.
- 自主乳房重建在60岁以上的患者中得到支持,前提是他们接受了关于腹部供体位问题潜在增加的咨询.
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