选择乳房保护疗法或乳房切除和胸下植入物乳房重建:对胸部主要功能的影响
Joshua M Leonardis1,2, Adeyiza O Momoh3, David B Lipps4
1College of Applied Health Sciences, University of Illinois Urbana-Champaign, 906 S. Goodwin Avenue, Urbana, IL, 61801, USA. jleo@illinois.edu.
Breast cancer research and treatment
|June 8, 2024
概括
乳房保护疗法 (BCT) 和胸下植入物 (SI) 乳房重建都会导致长期的上肢虚弱. 大胸部 (PM) 功能发生变化,患者使用不充分的补偿策略.
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.
- 生物力学 生物力学
背景情况:
- 乳房切除术与胸下植入物 (SI) 重建相比乳房保护疗法 (BCT) 的比例越来越高.
- 不明确的BCT和SI对大胸部 (PM) 功能的差异影响.
研究的目的:
- 评估BCT与SI乳房重建对PM功能的影响.
主要方法:
- 使用了超声波剪切波弹性学和表面电肌学.
- 在14名BCT,14名SI和14名对照参与者中,评估了静止时和亚最大扭矩期间的PM和肩膀肌肉活动.
主要成果:
- 在BCT和SI组中,肩膀引表现出显著的弱点;在BCT中,内部/外部旋转也表现出弱点.
- 在BCT和SI组中观察到改变的PM功能,与对照组相比,区域肌肉贡献有差异.
- 两组人都使用协同作用的肩部肌肉来补偿,这表明策略不足.
结论:
- 无论是BCT还是SI乳房重建,都会导致长期显著的上肢力量缺陷.
- 变化的PM功能和不充分的神经肌肉补偿策略有助于这些缺陷.
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