在乳房重建中,脂肪延伸,节省肌肉的乳房脊椎的多功能性
Simone La Padula1, Giovanni Esposito1, Alessio Ciccarelli1
1From the Plastic and Reconstructive Surgery Unit, Department of Public Health, Università degli studi di Napoli Federico II, Napoli, Italy.
Plastic and reconstructive surgery. Global open
|September 12, 2025
概括
延长脂肪的节省肌肉的乳房脊 (FEMSLDF) 片提供了一种安全有效的乳房重建方法. 这种技术提高了患者的满意度和功能结果,并发症最小,使其成为一个有价值的替代品.
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:
- Latissimus dorsi (LD) 肌皮是常见的乳房重建技术,通常与植入物一起使用.
- 传统方法可能会导致功能缺陷和并发症.
- 脂肪扩展肌肉节约的LD (FEMSLDF) 开发的目的是增强体积并尽量减少问题.
研究的目的:
- 评估FEMSLDF在乳腺重建方面的有效性.
- 评估与FEMSLDF相关的安全性和并发症率.
- 为了确定FEMSLDF乳房重建后的患者满意度水平.
主要方法:
- 对172名接受FEMSLDF重建的患者进行前性研究 (2018年1月 - 2023年11月).
- 手术技术的重点是保护LD肌肉,并利用周围的脂肪来增加体积.
- 收集的数据包括术后并发症,BREAST-Q结果和患者和观察者痕评估量表.
主要成果:
- 平均随访时间为18.2个月;平均手术时间为65分钟;住院时间为2-3天.
- 报告了一次轻微并发症 (0.58%).
- 观察到心理社会,性和身体健康的显著改善 (P <0.05) 和肌肉功能 (P = 0.2) 的保存. 报告的高伤满意度.
结论:
- FEMSLDF是一种多功能,安全和有效的乳房重建技术.
- 以最少的并发症实现良好的审美和功能结果.
- 代表了传统和混合重建方法的有价值的替代方案.
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