在乳腺癌治疗后进行复杂的伤口管理的高压氧疗法:单一机构10年经验
Fanru Shen1, Diwakar Phuyal1, Berk B Ozmen1
1Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|November 5, 2025
概括
高压氧气疗法 (HBOT) 在所有患者中有效治疗乳房切除术伤口并发症,使得癌症能够及时治疗. 早期的HBOT启动加速了愈合,可能减少了手术重新干预的需要.
科学领域:
- 在瘤学瘤学.
- 伤口愈合 治愈 伤口愈合
- 高压医学的高压医学.
背景情况:
- 乳腺切除术并发症在乳腺癌护理中带来了挑战,有可能推迟辅助疗法.
- 乳腺癌手术后不愈合的伤口需要有效的管理策略.
研究的目的:
- 评估高压氧疗法 (HBOT) 对于乳房切除术后的伤口并发症.
- 评估HBOT在促进癌症治疗及时完成方面的作用.
主要方法:
- 对接受HBOT治疗的20名乳腺切除术后伤口并发症患者的回顾性审查 (2014年1月至2024年9月).
- 并发症包括膜亡,脱落和辐射诱导的皮肤变化.
- 评估了人口统计,癌症细节,治疗时间表,HBOT参数 (2.0 ATA,90分钟疗程) 和结果.
主要成果:
- 在所有患者中实现了完整的伤口愈合 (100%),允许继续进行瘤治疗.
- 乳房切除膜缩和伤口脱光是最常见的并发症 (90%).
- 早期启动HBOT与更快的愈合相关 (p=0.023);报告了一种短暂的不良反应.
结论:
- 在受损的乳腺切除伤口中,HBOT是一种有效的辅助治疗,确保解决方案.
- HBOT有助于完成癌症治疗,并可能减少手术重新干预.
- 早期启动HBOT可优化愈合和瘤治疗时间表,支持多学科护理.
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