皮下质密度与肥胖和伤口并发症有关,患者接受减小乳腺整形手术
Kathryn W Brown1, Martin G McCandless2, Hemanth Nannapaneni2
1Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, Mississippi.
Eplasty
|July 19, 2023
概括
较高的身体质量指数 (BMI) 与减少乳房整形患者皮下 (SDP) 密度的增加相关. 然而,这种增加的SDP并不能完全解释肥胖患者更高的并发症率.
科学领域:
- 整形外科 整形外科 整形外科
- 伤口治愈研究研究 伤口治愈研究
- 血管生物学 血管生物学
背景情况:
- 减少乳房整形术是一种常见的整形手术手术.
- 伴随性疾病会影响伤口愈合,但对皮下 (SDP) 的数据有限.
- 了解SDP在并发症中的作用对于优化结果至关重要.
研究的目的:
- 评估身体质量指数 (BMI) 与乳腺表面组织中SDP密度之间的关系.
- 为了检查SDP密度和减少乳房整形术后的术后并发症之间的关联.
主要方法:
- 接受缩小乳房整形术的患者在IRB批准和知情同意后被录取.
- 免疫组织化学被用来分析废弃的乳腺组织中的SDP密度.
- 统计分析,包括t测试和皮尔森相关性,比较了BMI<35 kg/m2和≥35 kg/m2的患者.
主要成果:
- 与BMI<35 kg/m2 (P=.033) 的患者相比,BMI≥35 kg/m2的患者观察到SDP密度的显著增加.
- 在有吸烟史的患者中也注意到SDP密度的增加 (P=.009).
- SDP密度与术后感染 (P=.041) 和血液瘤/血清瘤 (P=.003) 有显著的关联.
结论:
- 增加BMI与SDP密度的统计学上显著增加有关.
- 在高BMI患者中,SDP密度的增加并不能完全解释观察到的伤口愈合并发症的增加.
- 体重指数和减小乳房整形手术并发症之间的确切关联尚不清楚.
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