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在乳房重建中用圆滑的植入物取代有形纹理植入物:长期结果

Haripriya S Ayyala¹, Tarek Afifi², Nikki Castel²

¹From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine.

Plastic and reconstructive surgery

|August 22, 2023

概括

从纹理到光滑的乳房植入物切换是安全的,并提高了患者的满意度. 这种交换程序提高了美学,舒适性和整体幸福感,并没有太多的并发症,解决了人们对BIA-ALCL的担忧.

科学领域:

整形外科整形外科整形外科
在瘤学瘤学.
患者研究成果研究结果

背景情况:

越来越多的人对乳房植入物相关的形大细胞淋巴瘤 (BIA-ALCL) 的担忧导致了纹理至光滑乳房植入物交换的增加.
这项研究研究了接受这种植入物修复手术的患者的长期结果.

研究的目的:

为了评估患者和外科医生在换取纹理乳房植入物以光滑的乳房植入物后报告的结果.
评估美学,舒适,心理社会福祉和并发症率的变化.

主要方法:

分析了307名患者的队列,这些患者在1994年至2022年期间接受了纹理至光滑植入物交换,并进行了至少1年的随访.
用BREAST-Q重建模块和定制调查收集了患者报告的结果.
外科医生的评估包括审美分级和囊收缩的评估.

主要成果:

在心理社会福祉 (P=0.0075),身体健康 (P=0.0078),整体乳房满意度 (P=0.0082),性健康 (P=0.0002) 等方面观察到显著改善.
大多数患者在交换后报告了更好或类似的外观和舒适度.
外科医生的评估表明,大多数患者的审美评级稳定或改善,囊膜收缩减少,术后并发症率低 (2.9%).

结论:

将纹理乳房植入物换成光滑设备是一种安全的程序.
交换不会损害美学效果,并会提高患者的舒适度和满意度.
这种干预与最小的并发症和没有重建失败有关.

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