乳头延迟手术在乳头节省乳房切除术中的有用性
Koshi Matsui1, Emi Kanaya1, Shiho Nagasawa1
1Department of Surgery and Science, Faculty of Medicine, Academic Assembly, University of Toyama, Toyama 930-0194, Japan.
Journal of clinical medicine
|January 28, 2026
概括
在乳头节省乳房切除术 (NSM) 之前的乳头延迟 (ND) 程序有效地预防了乳头-乳腺复合体 (NAC) 缩. 这种技术提高了高风险患者的安全性,这些患者接受了自主重建的NSM.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 乳房手术 乳房手术
背景情况:
- 节省乳头的乳房切除术 (NSM) 提供了改善的化品效果和生活质量 (QOL).
- 乳头-腹膜综合体 (NAC) 缺血性亡是NSM的一个重要并发症,特别是在具有危险因素的患者中.
- 乳头延迟 (ND) 程序是一种手术延迟技术,已被建议用于减轻缺血风险.
研究的目的:
- 评估ND手术在NSM之前的安全性和临床实用性,并立即进行自身乳房重建.
- 评估ND在预防NAC缩方面的有效性.
主要方法:
- 在NSM和自身重建之前接受ND的30名患者30个乳房的回顾性审查.
- 在NSM之前两周,ND手术涉及从局部麻醉下从底层乳腺组织中切割NAC周围的皮肤.
主要成果:
- 没有发生需要切除的全厚NAC亡病例 (0%).
- 部分厚度缩发生在20%的患者中,通过保守治疗治愈.
- 死亡的危险因素包括围耳切口 (80%),BMI ≥25 kg/m2 (23.3%),吸烟 (26.7%).
- 在subareolar标本中没有发现恶性参与.
结论:
- 在NSM之前使用ND的分阶段方法在预防严重的缺血并发症方面是有效的.
- 这种技术安全地扩大了NSM的适用范围,以包括高风险患者.
- 在NSM中,ND程序提高了瘤安全性和化品结果.
相关概念视频
Spare Receptors
4.6K
Some receptors remain unoccupied even when an agonist produces a maximal response. Such empty ones are called spare receptors. In presence of spare receptors the maximum effect of an agonist drug is achieved with fewer than 100% of the receptors being occupied. To determine the presence of spare receptors, scientists often compare the concentration of the drug needed to produce 50% of the maximum effect (EC50) with the concentration of the drug needed to occupy 50% of the receptors (Kd). If the...
4.6K
Antihypertensive Drugs: Potassium-Sparing Diuretics
2.3K
Liddle syndrome is a genetically inherited form of hypertension characterized by the overactivity of epithelial sodium channels in the nephron, the functional unit of the kidney. This heightened activity leads to increased sodium reabsorption and excessive excretion of potassium. To counteract this, potassium-sparing diuretics such as amiloride are used. They function by blocking these sodium channels, thereby reducing the influx of sodium into the epithelial cells and minimizing the loss of...
2.3K
Blind Procedures
13.4K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
13.4K
Handwashing II: Pre-procedure and Initial Procedure Steps
1.5K
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
1.5K
Handwashing III: During the Procedure and Post-Procedure Steps
2.2K
To wash hands properly, follow these steps:
2.2K
Tracheostomy: Procedure and Tubes
3.3K
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
3.3K


