体重指数对乳腺瘤手术的影响:一个多中心分析
Gabriel De La Cruz Ku1,2, Madison Camarlinghi3, Michael P Mallouh1
1Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Journal of surgical oncology
|July 14, 2023
概括
乳腺瘤化手术对患有2级或3级肥胖症 (BMI ≥35 kg/m2) 的患者具有增加的风险. 与非肥胖患者相比,这些患者的整体和伤口并发症率更高.
科学领域:
- 瘤整形手术 瘤整形手术
- 肥胖问题研究研究
- 外科手术的结果
背景情况:
- 全球肥胖率的上升需要了解它们对手术程序的影响.
- 瘤塑性乳腺手术是一个不断发展的领域,但与BMI相关的并发症的数据有限.
- 更高的身体质量指数 (BMI) 与重大手术中的伤口并发症有关.
研究的目的:
- 为了比较瘤塑性乳腺手术患者的并发症率,按BMI分层.
- 确定与手术风险增加相关的BMI值.
主要方法:
- 分析国家外科质量改善计划 (NSQIP) 数据 (2005-2020年).
- 根据世卫组织的肥胖分类对6887名患者的分层.
- 多变量后勤回归用于评估整体,手术和伤口并发症的风险因素.
主要成果:
- 患有2类 (BMI 35-39.9 kg/m2) 和3类 (BMI ≥40 kg/m2) 肥胖症的患者的整体和伤口并发症风险明显更高.
- 增加的手术时间与更高的BMI相关.
- 肥胖和非肥胖群体之间没有观察到其他特定并发症 (如肺炎,DVT,再入院) 的显著差异.
结论:
- 瘤塑性手术通常是安全的,但在患有2级或3级肥胖症 (BMI ≥35 kg/m2) 的患者中需要谨慎.
- 较高的BMI与瘤塑性乳腺手术中整体和伤口并发症率的增加有关.
- 进一步的研究可能会探索减轻肥胖患者群体风险的策略.
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