基于植入物的乳房重建后的胸部出口综合征
Idorenyin E Ndem1, Grace Anne Longfellow2, Christina N Kapsalis1
1Division of Plastic and Reconstructive Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Plastic surgery (Oakville, Ont.)
|September 11, 2025
概括
基于植入物的乳房重建可能与胸腔出口综合征 (TOS) 有关. 许多患有TOS类症状的患者先前进行了乳房重建,但诊断率各不相同,这表明需要改善查.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 血管外科 血管外科
背景情况:
- 胸腔出口综合征 (TOS) 涉及到胸腔出口中的神经血管结构的压缩.
- 这种TOS的症状包括上肢麻醉,软弱和血栓形成.
- 基于植入物的乳房重建是TOS的潜在原因,这是由于解剖学上的近距离.
研究的目的:
- 调查基于植入物的乳房重建与TOS诊断之间的关联.
- 在有乳房重建病史的患者中评估TOS症状.
主要方法:
- 对表现为TOS类症状的女性患者的回顾性审查 (2014年4月 - 2022年12月).
- 分析症状类型,与重建相对的发病时间,并确认TOS诊断.
- 鉴定之前以植入器为基础的乳房重建的患者.
主要成果:
- 在319名患者中,有16名 (5.0%) 接受了基于植入物的乳房重建.
- 这16名患者中有7名 (43.8%) 被诊断为TOS,并有胸下植入物.
- 显著一部分症状患者没有得到正式的TOS诊断.
结论:
- 乳房重建是TOS的可能原因之一.
- 胸下植入物放置可能与TOS有关.
- 改善的查方法是需要的,对于患者TOS类似的症状后的乳房重建.
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