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使用乳房植入物进行乳房重建。

Breast reconstruction with breast implants.

作者信息

Grieco Michele Pio, Simonacci Francesco, Bertozzi Nicolò, Grignaffini Eugenio, Raposio Edoardo

机构信息

Department of Surgical Sciences, Plastic Surgery Division, University of Parma, Parma, Italy Cutaneous, Regenerative, Mininvasive and Plastic Surgery Unit, Parma University Hospital, Italy.

出版信息

Acta Biomed. 2019 Jan 15;89(4):457-462. doi: 10.23750/abm.v89i4.5748.

Abstract

BACKGROUND

Breast cancer is the most common noncutaneous malignancy among women worldwide. After a breast cancer removal procedure, women are asked to decide about breast reconstruction, mainly to improve their life quality, and they can choose from among many options. Broadly, there are two different types of breast reconstruction procedures: prosthetic implant-based reconstruction and autologous tissue-based reconstruction.

METHODS

Implant-breast reconstruction is a minimally invasive procedure compared with autologous breast reconstruction. It is associated with fewer short- and long-term complications.

RESULTS

The ideal candidates for implant-based reconstruction are patients with non-redundant soft tissue coverage, who desire a moderate sized non-ptotic breast and have not been previously irradiated.

CONCLUSION

The state of the art for implant-breast reconstruction is briefly described in this article.

摘要

背景

乳腺癌是全球女性中最常见的非皮肤恶性肿瘤。在乳腺癌切除手术后,女性需要决定是否进行乳房重建,主要目的是提高生活质量,她们有多种选择。大致来说,有两种不同类型的乳房重建手术:基于假体植入的重建和基于自体组织的重建。

方法

与自体乳房重建相比,植入式乳房重建是一种微创手术。它的短期和长期并发症较少。

结果

基于植入物重建的理想候选人是软组织覆盖无冗余、希望拥有中等大小不下垂乳房且之前未接受过放疗的患者。

结论

本文简要介绍了植入式乳房重建的最新技术。

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本文引用的文献

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Breast reconstruction in older patients: A literature review of the decision-making process.老年患者的乳房重建:决策过程的文献综述
J Plast Reconstr Aesthet Surg. 2016 Oct;69(10):1325-34. doi: 10.1016/j.bjps.2016.06.003. Epub 2016 Jun 17.
2
Simvastatin Reduces Capsular Fibrosis around Silicone Implants.辛伐他汀可减轻硅胶植入物周围的包膜纤维化。
J Korean Med Sci. 2016 Aug;31(8):1273-8. doi: 10.3346/jkms.2016.31.8.1273. Epub 2016 May 16.
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Breast reconstruction after mastectomy.乳房切除术后乳房重建。
Br J Surg. 2016 Nov;103(12):1577-1578. doi: 10.1002/bjs.10257. Epub 2016 Jul 27.
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Different types of implants for reconstructive breast surgery.用于乳房重建手术的不同类型植入物。
Cochrane Database Syst Rev. 2016 May 16;2016(5):CD010895. doi: 10.1002/14651858.CD010895.pub2.
6
Locally Advanced Breast Cancer: Autologous Versus Implant-based Reconstruction.局部晚期乳腺癌:自体组织与乳房植入物重建对比
Plast Reconstr Surg Glob Open. 2016 Feb 17;4(2):e622. doi: 10.1097/GOX.0000000000000598. eCollection 2016 Feb.
8
A review of the use of silicone implants in breast surgery.乳房手术中硅胶植入物使用情况的综述。
Expert Rev Med Devices. 2016;13(2):143-56. doi: 10.1586/17434440.2016.1134310. Epub 2016 Jan 13.

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