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基于植入物的胸大肌前乳房重建：肿瘤整形平面、其血供及评估方法的重要性

Implant-based Prepectoral Breast Reconstruction: The Importance of Oncoplastic Plane, its Blood Supply and Assessment Methods.

作者信息

Chopra Sharat, Rehnke Robert D, Raghavan Vidya

机构信息

Cardiff & Vale University Health Board, Breast Centre, University Hospital Llandough, Penlan Road, Cardiff, Wales, United Kingdom.

6606 10th Avenue N, St. Petersburg, Fla. USA.

出版信息

World J Plast Surg. 2021 Jan;10(1):108-113. doi: 10.29252/wjps.10.1.108.

DOI:10.29252/wjps.10.1.108
PMID:33833962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8016379/
Abstract

With the recent rise in prepectoral breast reconstruction, partly due to the improvement in implants and the aesthetic results but, more so, due to the perseveration of the pectoralis major, it is of great importance to have an appreciation of the clinical anatomy with regards to the breast and its blood supply for the practice of prepectoral breast reconstruction. The preservation of the mastectomy flap vasculature together with meticulous surgical technique minimizes complications, notoriously of skin flap necrosis. We aimed to describe the anatomy of the oncoplastic plane (for the prepectoral technique), its vasculature, and relevant assessment methods.

摘要

随着近年来胸前区乳房重建术的兴起，部分原因是植入物及美学效果的改善，但更重要的是由于胸大肌得以保留，因此了解乳房及其血供的临床解剖结构对于胸前区乳房重建术的实施至关重要。保留乳房切除皮瓣的脉管系统并辅以精细的手术技巧可将并发症（尤其是皮瓣坏死）降至最低。我们旨在描述肿瘤整形平面（用于胸前区技术）的解剖结构、其脉管系统及相关评估方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8252/8016379/00832933087a/wjps-10-108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8252/8016379/81cdc47ababd/wjps-10-108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8252/8016379/00832933087a/wjps-10-108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8252/8016379/81cdc47ababd/wjps-10-108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8252/8016379/00832933087a/wjps-10-108-g002.jpg

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本文引用的文献

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Prepectoral Breast Reconstruction in Nipple-Sparing Mastectomy With Immediate Mastopexy.保留乳头乳晕的乳房切除术中同期乳房上提术的胸前区乳房重建术
Ann Plast Surg. 2020 Jul;85(1):18-23. doi: 10.1097/SAP.0000000000002136.
2
Prepectoral implant-based breast reconstruction: a joint consensus guide from UK, European and USA breast and plastic reconstructive surgeons.胸前植入物乳房重建：来自英国、欧洲和美国乳房及整形重建外科医生的联合共识指南。
Ecancermedicalscience. 2019 May 7;13:927. doi: 10.3332/ecancer.2019.927. eCollection 2019.
3
Anatomy of the Superficial Fascia System of the Breast: A Comprehensive Theory of Breast Fascial Anatomy.
乳腺癌护理的创新与挑战：综述
Medicina (Kaunas). 2023 May 16;59(5):957. doi: 10.3390/medicina59050957.
乳房浅筋膜系统解剖：乳房筋膜解剖的综合理论。
Plast Reconstr Surg. 2018 Nov;142(5):1135-1144. doi: 10.1097/PRS.0000000000004948.
4
A Prospective Study of Immediate Breast Reconstruction with Laser-Assisted Indocyanine Green Angiography.激光辅助吲哚菁绿血管造影术在即刻乳房重建中的前瞻性研究。
Plast Reconstr Surg Glob Open. 2018 Sep 6;6(9):e1774. doi: 10.1097/GOX.0000000000001774. eCollection 2018 Sep.
5
Closed Incision Negative Pressure Therapy in Oncological Breast Surgery: Comparison with Standard Care Dressings.肿瘤性乳房手术中的闭合切口负压治疗：与标准护理敷料的比较。
Plast Reconstr Surg Glob Open. 2018 Jun 15;6(6):e1732. doi: 10.1097/GOX.0000000000001732. eCollection 2018 Jun.
6
Incision Choices in Nipple-Sparing Mastectomy: A Comparative Analysis of Outcomes and Evolution of a Clinical Algorithm.保留乳头的乳房切除术的切口选择：临床算法的结果比较分析和演变。
Plast Reconstr Surg. 2018 Dec;142(6):826e-835e. doi: 10.1097/PRS.0000000000004969.
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Systematic review of methodologies used to assess mastectomy flap viability.用于评估乳房切除皮瓣存活能力的方法的系统评价
BJS Open. 2018 May 28;2(4):175-184. doi: 10.1002/bjs5.61. eCollection 2018 Aug.
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Nitroglycerin Ointment for Reducing the Rate of Mastectomy Flap Necrosis in Immediate Implant-Based Breast Reconstruction.硝酸甘油软膏用于降低即刻植入物乳房重建中乳房皮瓣坏死的发生率。
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