波兰综合征的胸部和乳腺形重建技术:最新的系统审查
Payton K Grande1, Tatjana Mortell2, Ashley E Chang3
1University of Tennessee Health Science Center College of Medicine, Memphis, TN, United States.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|January 16, 2025
概括
波兰综合征 (PS) 胸部和乳腺形的手术重建因性别而异. 脂肪移植和混合重建等新技术越来越受欢迎,为波兰综合征患者提供了可行的选择.
科学领域:
- 整形外科 整形外科 整形外科
- 遗传异常 是一种先天性异常.
- 重建性手术是一种重建性手术.
背景情况:
- 波兰综合症 (PS) 是一种先天性疾病,其特征是胸部肌肉和乳腺组织发育不良,通常伴有相关的四肢或胸部形.
- 重建这些多样化的形 presents显著的外科手术挑战.
研究的目的:
- 评估波兰综合征患者胸部和乳腺异常的手术治疗当前趋势.
- 分析基于患者的性别和不断发展的技术的重建策略.
主要方法:
- 对详细介绍波兰综合征中胸部和乳腺形的初级手术治疗的研究进行了系统审查.
- 从741篇初步论文中选择了77篇相关文章,但不包括那些只关注手部或胸内重建的文章.
主要成果:
- 基于片的重建,主要使用背大肌,是最常见的方法 (60.3%).
- 组织扩展器随后植入物在女性患者中普遍存在 (80.8%),而单独的片在男性中很常见 (41.7%). 混合重建 (片和植入物) 是女性 (34.2%) 的偏好.
- 脂肪移植作为独立或辅助疗法,自20世纪90年代以来使用率增加.
结论:
- 波兰综合征胸部和乳腺形的手术管理在男性和女性之间存在显著差异,可能是由于美学目标.
- 虽然没有单一的黄金标准存在,但像脂肪移植和混合重建等新兴技术提供了有前途的解决方案.
- 建议制定一个决策框架,以指导两性不同波兰综合征异常的管理.
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