• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

乳房植入物的选择：使用改良德尔菲法的共识性建议

Breast Implant Selection: Consensus Recommendations Using a Modified Delphi Method.

作者信息

Magnusson Mark R, Connell Tony, Miroshnik Michael, Layt Craig, Ashton Mark, Deva Anand K, Farrow Hamish, Januszkiewicz Janek

机构信息

Toowoomba Plastic Surgery, Toowoomba, Australia.

Griffith University, Gold Coast, Australia.

出版信息

Plast Reconstr Surg Glob Open. 2019 May 1;7(5):e2237. doi: 10.1097/GOX.0000000000002237. eCollection 2019 May.

DOI:10.1097/GOX.0000000000002237
PMID:31333962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6571346/
Abstract

BACKGROUND

Geographical differences in breast implant selection approaches exist, and clinical data to guide the process are limited. Developing knowledge of implant-related risk factors further complicates the process. This analysis aimed to establish expert consensus on considerations for breast implant selection in Australia and New Zealand based on practice patterns in those countries.

METHODS

A modified Delphi method was used to gain consensus from experts in breast augmentation surgery in Australia and New Zealand. Panelists anonymously completed an initial questionnaire on current considerations in implant selection, discussed a summary of their responses in a live meeting, and completed a final consensus survey based on their live recommendations.

RESULTS

Seven panelists completed the final consensus survey. Consensus recommendations included ensuring consideration of proper surgical technique (pocket formation, positioning of implant) and patient tissue and anatomical characteristics, weighing relative expected results of various surface textures, sizes, and degrees of cohesivity, and careful contemplation of the migration risk.

CONCLUSIONS

This modified Delphi exercise provided consensus recommendations on the key factors involved in implant selection from the perspective of plastic surgeons with practices in Australia and New Zealand. A primary recommendation was that the choice of implant for each patient should be individualized to patient tissue and anatomical characteristics.

摘要

背景

乳房植入物选择方法存在地域差异，而指导这一过程的临床数据有限。了解与植入物相关的风险因素使这一过程更加复杂。本分析旨在根据澳大利亚和新西兰的实际情况，就乳房植入物选择的考量因素达成专家共识。

方法

采用改良的德尔菲法，征求澳大利亚和新西兰隆乳手术专家的共识。小组成员匿名填写了一份关于当前植入物选择考量因素的初始问卷，在一次现场会议上讨论了他们的回答总结，并根据他们在现场会议上的建议完成了最终的共识调查。

结果

七名小组成员完成了最终的共识调查。共识建议包括确保考虑适当的手术技术（腔隙形成、植入物定位）以及患者的组织和解剖特征，权衡各种表面质地、尺寸和内聚程度的相对预期效果，以及仔细考虑移位风险。

结论

这项改良的德尔菲法从在澳大利亚和新西兰执业的整形外科医生的角度，就植入物选择的关键因素提供了共识建议。一项主要建议是，应为每位患者选择适合其组织和解剖特征的个性化植入物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/052ebad4fb75/gox-7-e2237-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/969fb940cd0c/gox-7-e2237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/efc362f8b995/gox-7-e2237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/cfd3fd917404/gox-7-e2237-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/2173adc71cce/gox-7-e2237-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/052ebad4fb75/gox-7-e2237-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/969fb940cd0c/gox-7-e2237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/efc362f8b995/gox-7-e2237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/cfd3fd917404/gox-7-e2237-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/2173adc71cce/gox-7-e2237-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d6/6571346/052ebad4fb75/gox-7-e2237-g006.jpg

相似文献

1
Breast Implant Selection: Consensus Recommendations Using a Modified Delphi Method.乳房植入物的选择：使用改良德尔菲法的共识性建议
Plast Reconstr Surg Glob Open. 2019 May 1;7(5):e2237. doi: 10.1097/GOX.0000000000002237. eCollection 2019 May.
2
Delphi Study Consensus Recommendations: Patient Selection and Preoperative Planning Measurements for Natrelle 410.德尔菲研究共识建议：娜绮丽410型乳房植入体的患者选择及术前规划测量
Plast Reconstr Surg Glob Open. 2015 Dec 9;3(11):e556. doi: 10.1097/GOX.0000000000000510. eCollection 2015 Nov.
3
Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant.专家共识：使用新型生物工程、细胞友好型、光滑表面乳房植入物。
Aesthet Surg J. 2019 Apr 8;39(Suppl_3):S95-S102. doi: 10.1093/asj/sjz054.
4
Nature-based care opportunities and barriers in oncology contexts: a modified international e-Delphi survey.肿瘤学背景下基于自然的护理机会与障碍：一项改良的国际电子德尔菲调查
BMJ Open. 2017 Oct 16;7(10):e017456. doi: 10.1136/bmjopen-2017-017456.
5
Delphi Consensus Recommendations: Intraoperative Technique and Postoperative Management of Patients with Natrelle 410 Implants.德尔菲共识建议：娜绮丽410型植入物患者的术中技术与术后管理
Plast Reconstr Surg Glob Open. 2015 Dec 9;3(11):e557. doi: 10.1097/GOX.0000000000000388. eCollection 2015 Nov.
6
Designing a safety checklist for dental implant placement: a Delphi study.设计牙种植体植入安全检查表：一项德尔菲研究。
J Am Dent Assoc. 2014 Feb;145(2):131-40. doi: 10.14219/jada.2013.15.
7
Understanding Breast Implant-Associated Illness: A Delphi Survey Defining Most Frequently Associated Symptoms.了解乳房植入物相关疾病：一项定义最常相关症状的德尔菲调查。
Plast Reconstr Surg. 2022 Jun 1;149(6):1056e-1061e. doi: 10.1097/PRS.0000000000009088. Epub 2022 Mar 29.
8
Establishing consensus on the perioperative management of cholecystectomy in public hospitals: a Delphi study with an expert panel in Mexico.建立公立医院胆囊切除术围手术期管理共识：墨西哥专家小组的德尔菲研究。
HPB (Oxford). 2021 May;23(5):685-699. doi: 10.1016/j.hpb.2020.09.021. Epub 2020 Oct 16.
9
Consensus Statement on Robotic Mastectomy-Expert Panel From International Endoscopic and Robotic Breast Surgery Symposium (IERBS) 2019.2019 年国际内镜与机器人乳房外科学会（IERBS）机器人乳房切除术专家共识声明。
Ann Surg. 2020 Jun;271(6):1005-1012. doi: 10.1097/SLA.0000000000003789.
10
Minimum standards of clinical practice for physiotherapists working in critical care settings in Australia and New Zealand: A modified Delphi technique.澳大利亚和新西兰危重症护理环境中物理治疗师的临床实践最低标准：改良德尔菲技术。
Physiother Theory Pract. 2016 Aug;32(6):468-482. doi: 10.3109/09593985.2016.1145311. Epub 2016 Jun 3.

引用本文的文献

1
The Chestnut Technique: A Novel Approach to Enhancing Implant Stability in Breast Augmentation.栗树技术：一种增强隆胸术中植入物稳定性的新方法。
Aesthetic Plast Surg. 2025 Jul 7. doi: 10.1007/s00266-025-05062-w.
2
Decision making in breast implant selection for breast reconstruction: A mixed-method study among plastic surgeons.乳房重建中乳房植入物选择的决策制定：整形外科医生的一项混合方法研究
JPRAS Open. 2023 Oct 21;38:283-295. doi: 10.1016/j.jpra.2023.10.009. eCollection 2023 Dec.
3
Implant Size Selection on the Basis of Period, Parity, and Age: A 22-year Retrospective Analysis of 2591 Primary Augmentation Mammoplasties.

本文引用的文献

1
The Functional Influence of Breast Implant Outer Shell Morphology on Bacterial Attachment and Growth.乳房植入物外壳形态对细菌附着和生长的功能影响
Plast Reconstr Surg. 2018 Oct;142(4):837-849. doi: 10.1097/PRS.0000000000004801.
2
Breast implant surface texture impacts host tissue response.乳房植入物表面纹理影响宿主组织反应。
J Mech Behav Biomed Mater. 2018 Dec;88:377-385. doi: 10.1016/j.jmbbm.2018.08.035. Epub 2018 Aug 28.
3
Betadine and Breast Implants.聚维酮碘与乳房植入物。
基于经期、生育情况和年龄的乳房植入体尺寸选择：对2591例初次隆乳手术的22年回顾性分析
Plast Reconstr Surg Glob Open. 2023 Jun 12;11(6):e5042. doi: 10.1097/GOX.0000000000005042. eCollection 2023 Jun.
4
Public Perception of Ideal Breast Shape.公众对理想乳房形状的认知。
Aesthet Surg J Open Forum. 2021 Nov 26;4:ojab049. doi: 10.1093/asjof/ojab049. eCollection 2022.
5
Four-Year Interim Results of the Safety of Augmentation Mammaplasty Using the Motiva Ergonomix™ Round SilkSurface: A Multicenter, Retrospective Study.Motiva Ergonomix™ 圆形丝面隆乳术的 4 年中期安全性：多中心回顾性研究。
Aesthetic Plast Surg. 2021 Jun;45(3):895-903. doi: 10.1007/s00266-021-02152-3. Epub 2021 Mar 1.
Aesthet Surg J. 2018 May 15;38(6):623-626. doi: 10.1093/asj/sjy044.
4
Do Not Fear an Implant's Shape: A Single Surgeon's Experience of Over 1200 Round and Shaped Textured Implants in Primary Breast Augmentation.无需担忧植入物形状：一位外科医生在1200余例初次隆乳术中使用圆形和水滴形纹理植入物的经验
Aesthet Surg J. 2018 Feb 15;38(3):254-261. doi: 10.1093/asj/sjx145.
5
Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Systematic Review.乳房植入物相关间变性大细胞淋巴瘤：系统评价。
JAMA Surg. 2017 Dec 1;152(12):1161-1168. doi: 10.1001/jamasurg.2017.4026.
6
Long-Term Safety of Textured and Smooth Breast Implants.带纹理和光滑表面的乳房植入物的长期安全性。
Aesthet Surg J. 2017 Dec 13;38(1):38-48. doi: 10.1093/asj/sjx157.
7
Macrotextured Breast Implants with Defined Steps to Minimize Bacterial Contamination around the Device: Experience in 42,000 Implants.具有明确步骤以尽量减少设备周围细菌污染的大纹理乳房植入物：42000例植入经验
Plast Reconstr Surg. 2017 Sep;140(3):427-431. doi: 10.1097/PRS.0000000000003575.
8
Functional biocompatibility testing of silicone breast implants and a novel classification system based on surface roughness.硅凝胶乳房假体的功能生物相容性检测及一种基于表面粗糙度的新型分类系统。
J Mech Behav Biomed Mater. 2017 Nov;75:75-81. doi: 10.1016/j.jmbbm.2017.06.030. Epub 2017 Jun 27.
9
Current Trends in Breast Augmentation: An International Analysis.隆乳术的当前趋势：一项国际分析。
Aesthet Surg J. 2018 Feb 17;38(2):133-148. doi: 10.1093/asj/sjx104.
10
Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation.解剖型乳房植入物会出现旋转问题吗？对导致旋转的因素的统计分析。
Plast Reconstr Surg. 2017 Jun;139(6):1367-1378. doi: 10.1097/PRS.0000000000003387.