乳房重建使用臂方法内镜扩展的乳背 (Ax-eeLD)
Shinsuke Akita1, Yoshihisa Yamaji1, Haruka Maei1
1Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan.
Journal of clinical medicine
|January 28, 2026
概括
与常规技术相比,式接近的内镜延伸乳房脊 (Ax-eeLD) 片提供了一种最少的侵入性乳房重建方法,可以显著减少切口长度,而不会影响安全性或患者的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 手术创新 在外科创新.
- 乳房重建 乳房重建
背景情况:
- 传统的内镜扩展的背脊 (eeLD) 片可以最大限度地减少背部痕,但仍然需要横侧胸部切口.
- 开发了一种新型的关方式内镜扩展的背 (Ax-eeLD) 片,可通过单个关切口和小型端口进行收获.
研究的目的:
- 为了评估Ax-eeLD的安全性和可行性.
- 为了比较 Ax-eeLD flap 与传统 eeLD flap 的结果.
主要方法:
- 对接受Ax-eeLD收获的患者的回顾性分析.
- 与接受常规 eeLD flap 的对照组进行比较.
- 评估的结果包括切口长度,手术时间,并发症,需要脂肪移植和BREAST-Q分数.
主要成果:
- 与传统的eLD组 (89 ± 9 mm) 相比,Ax-eeLD组的切口明显较短 (39 ± 1 mm).
- 运营时间在各组之间是可比的.
- 在手术后的BREAST-Q分数在两组中同样有所改善,脂肪移植要求没有显著差异.
结论:
- Ax-eeLD 片提供了一种技术上可行且安全的方法,用于最小侵入性拉蒂斯木斯背部肌肉收获.
- 这种方法消除了侧侧胸部痕,在乳房重建方面具有优势.
- 需要进一步的前性研究来客观地评估体积结果.
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