调查常规静脉增大在深下腹膜动脉穿孔器和手术内决策途径的调查
Anne M Meyer1, Cole Bird2, Niaman Nazir3
1Department of Plastic, Burn, and Wound Surgery, University of Kansas Medical Center, Kansas City, Kansas, United States.
Journal of reconstructive microsurgery
|October 9, 2025
概括
在深下腹膜穿孔器 (DIEP) 板中的预防性静脉增大不改善结果,并增加了手术时间. 术内决策途径可以指导静脉增大在DIEP片乳房重建中的使用.
科学领域:
- 整形外科 整形外科 整形外科
- 微手术 微手术是一种微手术.
- 乳房重建 乳房重建
背景情况:
- 有限的数据存在于预防性静脉增大在深下腹膜穿孔器 (DIEP) 片的好处.
- 评估单静脉与增强静脉DIEP的结果对于优化外科手术技术至关重要.
研究的目的:
- 为了评估与预防性静脉增强相比,单静脉DIEP片的结果.
- 引入一个术内决策途径来管理DIEP片中的静脉外流.
主要方法:
- 对1099名接受DIEP片乳房重建 (2009-2023) 的患者进行了回顾性图表审查.
- 单静脉解剖组和预防性多静脉解剖组之间的结果比较.
- 统计分析以确定并发症率和手术时间的显著差异.
主要成果:
- 由于任何原因或疑似静脉损害的原因,在分组之间返回手术室的速度没有显著差异.
- 疑似静脉损伤发生在2.3%的片中,单静脉和增强静脉组之间没有差异.
- 预防性多静脉解剖与显著延长的手术时间 (p < 0.001) 相关,但没有改善片存活率.
结论:
- 在DIEP片中预防性静脉增大与术后改善的结果或减少片损失无关.
- 常规的多静脉解剖术增加了手术时间,没有明显的益处.
- 术内决策途径可以帮助识别可能受益于额外静脉外流的DIEP,避免不必要的增大.
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