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评估瘤塑性乳房保护手术:瘤安全性,风险和满意度 - - 一个系统的审查和元分析

Loretta Enikő Nyirády^1,2, András Czébely-Lénárt^1,3, Jakub Hoferica¹

¹Centre for Translational Medicine, Semmelweis University, Budapest, Hungary.

Scientific reports

|December 1, 2025

概括

瘤塑性乳腺保护手术 (OBCS) 为早期乳腺癌提供安全有效的治疗方法. 体积移位 (VD) 和体积置换 (VR) 技术都显示出可比的瘤安全性,总体来说患者满意度很高.

科学领域:

在瘤学瘤学.
整形外科整形外科整形外科
基于证据的医学基于证据的医学.

背景情况:

瘤塑性乳腺保护手术 (OBCS) 将瘤切除与整形手术技术相结合,以改善乳腺癌治疗的美学结果.
在全面评估与不同OBCS技术相关的安全性和满意度方面存在差距.

研究的目的:

在OBCS中系统地审查和元分析体积移位 (VD) 和体积置换 (VR) 技术之间的瘤安全性,并发症率和患者满意度.

主要方法:

在PubMed,Embase和Cochrane图书馆 (CENTRAL) 进行了系统的文献搜索,直到2023年11月.
包含的原始文章提供了关于复发,重新切割,边缘状况,并发症 (血瘤,血清瘤,伤口感染,脂肪亡) 和患者满意度的定量数据.
来自46项符合条件的研究的数据被定量分析.

主要成果:

在VD和VR技术之间,瘤安全性是可比的,复发率 (0.02) 和再切割率 (0.05) 类似.
与VD相比,VR技术显示脂肪亡的发病率较高 (0.07).
总体患者满意度很高 (0.83),而静脉医学技术报告的满意度最高 (0.93).

结论:

OBCS是早期乳腺癌的成功方法,显示低风险和高患者满意度.
无论是VD还是VR技术在癌症上都是安全的,但VR可能有更高的脂肪亡风险.
视频病理技术似乎产生了更高的患者满意度.

关键词:

瘤塑性乳房保护手术 (OBCS) 是一种手术.安全的安全的安全的安全的安全.满意度是一种满足感.体积位移 (VD) 是指体积的位移.音量替换 (VR) 是一个

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