肌肉缺陷大小对捐赠部位的影响 穿越直肠腹部后的和膨胀
Yumin Kim1, Ji-Young Kim1, Hak Chang2
1Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University School of Medicine, Seoul, Republic of Korea.
Journal of plastic surgery and hand surgery
|March 19, 2025
概括
在肌肉节省-横向直肠腹部 (MS-TRAM) 手术期间,最大限度地减少直肠腹部肌肉切除至关重要. 更广泛的肌肉缺陷显著增加了腹部或外科手术后膨胀形成的风险.
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.
- 腹壁的重建 腹壁的重建
背景情况:
- 肌肉节省-横向直肠腹部 (MS-TRAM) 是乳房重建的常见方法.
- 腹或在供体部位的膨胀是常见的并发症.
- 以前的研究忽视了直腹肌肌肉缺陷,而是专注于带缺陷.
研究的目的:
- 调查直腹肌缺陷的大小与MS-TRAM片手术后口或凸起形成的发生率之间的相关性.
- 为了确定肌肉缺陷的特定参数,预测或凸起的发展.
主要方法:
- 160名接受单边或双边MS-TRAM片乳房重建的患者的回顾性研究.
- 对那些患有需要手术的 / 凸起患者与没有进行手术的患者进行比较.
- 分析直腹肌缺陷的宽度,肌肉节省类型和板重量.
主要成果:
- 在160名患者中,有6人因腹或腹而需要手术.
- 在和非组之间观察到直腹肌缺陷的宽度有显著差异.
- 对直腹肌缺陷的切线宽度为4.5厘米被确定为 / 凸起形成的预测因素.
结论:
- 在MS-TRAM手术过程中,最大限度地减少直腹肌切除,特别是其水平宽度,至关重要.
- 注意肌肉缺陷的宽度可以帮助减轻术后腹或膨胀的风险.
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