在立即重建乳房时,胸前与胸下组织扩展器放置后的术后并发症:来自日本的回顾性研究
Ryotaro Miyano1, Tomohiro Shiraishi2
1Department of Plastic and Reconstructive Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Breast cancer (Tokyo, Japan)
|September 25, 2025
概括
在日本患者中,使用组织扩展器 (TE) 进行胸前乳房重建,与胸下部位相比,感染和血清瘤的风险更高. 对于这种在日本未经批准的技术而言,仔细选择患者至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 乳房重建 乳房重建
- 外科手术的结果
背景情况:
- 前胸部植入物放置是乳房外科手术中下胸部重建的一个受欢迎的替代方案.
- 它提供了诸如减少疼痛和改善美学等好处.
- 然而,乳房植入物 (SBI) 的胸前放置在日本未经批准,其安全性尚未得到充分证实.
研究的目的:
- 在接受立即两阶段乳房重建的日本患者中,比较胸前和胸下组织扩展器 (TE) 放置的安全性和并发症率.
- 为了确定与手术后并发症相关的风险因素,在胸前TE安置.
主要方法:
- 对176名患者 (187个乳房) 的回顾性审查,这些患者接受了TE安置的两阶段乳房重建.
- 分类为前胸部 (135个乳房) 和下胸部 (52个乳房) 组.
- 术后并发症 (感染,血清瘤,TE暴露) 的比较和后勤回归分析以确定风险因素.
主要成果:
- 与分pectoral组相比,prepectoral组的感染率 (13.3%对2.2%) 和血清瘤 (15.6%对1.9%) 显著更高.
- TE暴露仅发生在眉前组 (4.6%).
- 胸前部位是感染和血清瘤的独立预测因子.
结论:
- 在日本患者中,胸前TE安置与胸下TE安置相比,与感染,血清和TE暴露的风险增加有关.
- 这些发现强调了在日本进行胸前乳房重建时需要仔细选择患者和进行手术规划.
- 需要进一步的研究来确定SBI在日本人口中的临床安全性.
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