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在亚洲人口中自主重建后,乳房和乳头位置的时间变化
Suphalerk Lohasammakul1, Johyun Yoon2, Chaiyawat Suppasilp
1Anatomy, Mahidol University Faculty of Medicine Siriraj Hospital, bangkoknoi, Thailand.
自由翻盖乳房重建可以导致乳房收缩,特别是在亚洲患有阴症或接受放射治疗的患者中. 建议仔细进行手术规划,以获得最佳对称性.
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:
- 自体重建后乳房形状发生变化,影响对称性.
- 了解重建乳房的时间变化至关重要.
研究的目的:
- 为了澄清与原生乳房相比,重建乳房的形状和乳头位置的时间变化.
- 为了分析这些变化,特别是在亚洲人口中.
主要方法:
- 在基线和每年访问后立即进行自由片乳房重建后的摄影评估.
- 单变量和多变量分析以确定影响乳头形状和位置变化的因素.
- 在2017年6月至2019年12月期间对接受单方面NSM的患者进行的研究.
主要成果:
- 原生乳房和重建乳房之间的时间变化有显著差异,后者的收缩率更高.
- 手术后1年收缩最明显.
- 乳腺死 (等级0-2) 和放射治疗暴露与增加的收缩有关.
结论:
- 收缩是自由片乳房重建的潜在并发症.
- 患有死症或接受放射治疗的患者有更高的风险.
- 研究结果支持精细的手术规划,包括体积调整和逆侧手术,以增强对称性.
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