患者报告的腹部发病症在腹部基乳房重建后
1Department of Plastic and Reconstructive Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina.
在肥胖患者的乳房重建后,腹壁并发症并不常见. 虽然需要修复,但凸起主要是化品,不会影响功能,尽管年龄是的危险因素.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 在瘤学瘤学.
背景情况:
- 肥胖会增加腹壁发病率,在为乳房重建采集了片后.
- 在这种情况下,患者报告的腹部发病结果 (PROs) 尚不清楚.
研究的目的:
- 为了评估腹壁发病率和肥胖患者的PROs经历腹部为基础的自由自主乳房重建.
主要方法:
- 在15年内对75名肥胖患者 (108个片) 进行了回顾性审查.
- 对操作特征,类型 (DIEP,MS-TRAM,f-TRAM) 和并发症的分析.
- 使用BREAST-Q腹部调查对PROs的评估.
主要成果:
- 低片失效率 (1%) 和整体并发症率.
- 发生率为7% (与年龄较大相关),腹部膨胀为8% (与f-TRAM板更常见).
- 无论是BMI还是片类型,都没有显著影响或膨胀率. 对于腹部功能和美容的PROs通常是有利的,膨胀与较低的满意度相关.
结论:
- 在接受乳房重建自由组织移植的肥胖患者中,腹壁发病率可接受地低.
- 是需要修复的严重并发症;凸起主要是化品问题.
- 患者的年龄可能是形成的独立风险因素.
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