在新辅助疗法后,基于植入物的即时乳房重建与自主乳房重建的结果
1The Department of Breast Oncoplastic Surgery, Tianjin Medical University Cancer Institute and Hospital, China; National Clinical Research Center for Cancer, China; Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, China; Key Laboratory of Cancer Prevention and Treatment, Tianjin, China; Tianjin's Clinical Research Center for Cancer, China; The Sino-Russian Joint Research Center for Oncoplastic Breast Surgery, China.
自主乳房重建 (ABR) 提供了更少的并发症和更好的审美结果,而不是基于植入物的乳房重建 (IBBR) 在新辅助疗法 (NAT) 后. 接受ABR的患者报告了更高的满意度,这使得它成为NAT后立即进行乳房重建的首选选择.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
背景情况:
- 在新辅助疗法 (NAT) 后,立即进行乳房重建 (IBR) 的最佳方法正在争论中.
- 对比自主乳房重建 (ABR) 和基于植入物的乳房重建 (IBBR) 对临床实践至关重要.
研究的目的:
- 为了比较NAT后的ABR和IBBR之间的并发症,审美结果和患者满意度.
- 为乳房重建方式选择提供基于证据的建议.
主要方法:
- 对172名接受单边IBR后NAT.患者的回顾性分析.
- 人口统计数据,瘤概况,治疗方案,并发症和患者报告结果的比较.
- 对每个重建类型进行了子组分析.
主要成果:
- 与IBBR相比,ABR组的重建失败率 (1.3%与18.6%) 和感染率 (4.0%与13.4%) 显著降低.
- 糖尿病和感染是IBBR组重建失败的重要风险因素.
- 在组织扩展器阶段,ABR患者报告了更高的满意度 (72.22对65.52) 和优越的美学结果.
结论:
- 自主乳房重建 (ABR) 与NAT后基于植入物的乳房重建 (IBBR) 相比,与更少的并发症和更好的美学结果有关.
- 通过ABR观察到更高的患者满意度.
- 应考虑ABR作为NAT后立即乳房重建的有利选择.
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