前锯肌筋膜在即刻基于植入物的乳房重建中的应用：65 例乳腺癌患者的病例系列。
Serratus Anterior Fascia for Immediate Implant-Based Breast Reconstruction: A Case Series of 65 Patients With Breast Cancer.
机构信息
From the Department of Breast Surgery, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fujian, China.
出版信息
Ann Plast Surg. 2024 Feb 1;92(2):169-173. doi: 10.1097/SAP.0000000000003769. Epub 2023 Dec 28.
OBJECTIVE
After immediate implant-based breast reconstruction (IIBR) after mastectomy, implant exposure or capsular contracture can occur. This study aimed to evaluate IIBR using serratus anterior fascia in patients with breast cancer.
METHODS
This retrospective case series study enrolled patients with breast cancer underwent IIBR using the serratus anterior fascia after mastectomy in the Department of Breast Surgery of Fujian Cancer Hospital between January 2021 and December 2022.
RESULTS
Sixty-five cases with breast cancer underwent IIBR using serratus anterior fascia were enrolled, with a median age of 39 years (range, 24-57 years) and body mass index of 21.32 kg/m 2 (range, 19-25 kg/m 2 ). The aesthetic outcomes of the reconstructed breasts showed good in 53 cases (81.6%), moderate in 11 cases (16.9%), and poor in 1 case (1.5%) due to offset position. Two cases showed poor wound healing, which improved after repeat suturing and 5 cases developed partial ischemic necrosis of the nipple, which scabbed and healed spontaneously.
CONCLUSIONS
Implant-based breast reconstruction using serratus anterior fascia may provide good aesthetic outcomes with few complications.
目的
在乳房切除术后进行即刻基于植入物的乳房重建（IIBR）后，可能会发生植入物暴露或包膜挛缩。本研究旨在评估乳腺癌患者使用前锯肌筋膜进行 IIBR 的效果。
方法
本回顾性病例系列研究纳入了 2021 年 1 月至 2022 年 12 月在福建省肿瘤医院乳腺外科接受乳房切除术并使用前锯肌筋膜进行 IIBR 的乳腺癌患者。
结果
共纳入 65 例接受前锯肌筋膜 IIBR 的乳腺癌患者，中位年龄为 39 岁（范围，24-57 岁），体重指数为 21.32kg/m 2（范围，19-25kg/m 2）。由于位置偏移，53 例（81.6%）重建乳房的美学效果良好，11 例（16.9%）为中等，1 例（1.5%）为差。2 例出现伤口愈合不良，经重复缝合后改善，5 例出现乳头部分缺血性坏死，结痂后自行愈合。
结论
使用前锯肌筋膜的基于植入物的乳房重建可能会提供良好的美学效果，且并发症较少。
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