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乳房切除术后即刻基于植入物的胸肌前乳房重建用网片。

Mesh for immediate implant-based prepectoral breast reconstruction following mastectomy.

作者信息

Rolph Rachel, Nanda Akriti, Hill Timothy Martyn, Chong Lauren, Roy Pankaj G, Douek Michael

机构信息

Surgical Intervention Trials Unit (SITU), Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.

Department of Breast Surgery, Oxford University Hospitals, Oxford, UK.

出版信息

Cochrane Database Syst Rev. 2025 Jun 17;6(6):CD015961. doi: 10.1002/14651858.CD015961.

DOI:10.1002/14651858.CD015961
PMID:40525534
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12172149/
Abstract

This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects of mesh (biological and synthetic) in immediate prosthetic (implant or expander) prepectoral breast reconstruction following mastectomy for women with breast cancer or breast cancer risk-reduction surgery.

摘要

这是一项Cochrane系统评价（干预措施）的方案。目标如下：评估网片（生物性和合成性）在乳腺癌或降低乳腺癌风险手术的女性乳房切除术后即刻假体（植入物或扩张器）胸肌前乳房重建中的效果。

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Mesh for immediate implant-based prepectoral breast reconstruction following mastectomy.乳房切除术后即刻基于植入物的胸肌前乳房重建用网片。
Cochrane Database Syst Rev. 2025 Jun 17;6(6):CD015961. doi: 10.1002/14651858.CD015961.
2
[Acellular dermal matrix and synthetic mesh in implant-based immediate breast reconstruction: Current concepts].[脱细胞真皮基质与合成网片在基于植入物的即刻乳房重建中的应用：当前概念]
Gynecol Obstet Fertil Senol. 2019 Mar;47(3):311-316. doi: 10.1016/j.gofs.2019.01.010. Epub 2019 Feb 6.
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Management of Breast Cancer by Skin-Reducing Mastectomy and Immediate Breast Reconstruction by Prepectoral Implant Approach with Polypropylene Mesh for Patients with Large Breasts.采用缩皮乳房切除术及经胸前植入聚丙烯网片即刻乳房重建术治疗巨乳症患者的乳腺癌管理
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Time to reconsider the use of synthetic mesh in immediate prepectoral implant-based breast reconstruction: Impact of their use on short-term outcomes.是时候重新考虑在即刻胸肌前乳房重建中使用人工合成补片了：其使用对短期结果的影响。
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The use of meshes and matrices in breast reconstruction.网片和基质在乳房重建中的应用。
Br J Hosp Med (Lond). 2018 Aug 2;79(8):454-459. doi: 10.12968/hmed.2018.79.8.454.
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Two-stage prepectoral breast reconstruction: A comprehensive review and meta-analysis.两阶段胸肌前乳房重建：一项综合综述与荟萃分析。
J Plast Reconstr Aesthet Surg. 2025 May;104:388-397. doi: 10.1016/j.bjps.2025.02.041. Epub 2025 Feb 25.
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Best-BRA (Is subpectoral or prepectoral implant placement best in immediate breast reconstruction?): a protocol for a pilot randomised controlled trial of subpectoral versus prepectoral immediate implant-based breast reconstruction in women following mastectomy.最佳 BRA（乳房切除术后即刻乳房重建中胸肌下或胸肌前假体放置哪个更好？）：一项关于乳房切除术后即刻基于假体的乳房重建中胸肌下与胸肌前即刻植入物的随机对照试验的研究方案。
BMJ Open. 2021 Nov 30;11(11):e050886. doi: 10.1136/bmjopen-2021-050886.
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Prepectoral Immediate Direct-to-Implant Breast Reconstruction with Anterior AlloDerm Coverage.胸大肌前即刻直接植入式乳房重建术并采用异体真皮前层覆盖
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The GalaFLEX "Empanada" for Direct-to-Implant Prepectoral Breast Reconstruction.用于直接植入胸肌前乳房重建的GalaFLEX“玉米饼”。
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Evaluation of Prepectoral Implant Placement and Complete Coverage with TiLoop Bra Mesh for Breast Reconstruction: A Prospective Study on Long-Term and Patient-Reported BREAST-Q Outcomes.前瞻性研究 TiLoop 乳房补片在假体乳房重建中完全覆盖的长期效果和患者报告的 BREAST-Q 结果
Plast Reconstr Surg. 2019 Jan;143(1):1e-9e. doi: 10.1097/PRS.0000000000005078.

本文引用的文献

1
Optimal Strategies for the Management of Macromastia and Breast Ptosis for Patients Undergoing Nipple-sparing Mastectomy.保乳乳头乳房切除患者巨乳症和乳房下垂管理的优化策略
J Reconstr Microsurg. 2025 Feb 13. doi: 10.1055/a-2508-6495.
2
Ptotic versus Nonptotic Breasts in Nipple-sparing Mastectomy and Immediate Prepectoral Breast Reconstruction.保留乳头的乳房切除术及即刻胸肌前乳房重建中下垂乳房与非下垂乳房的对比
Plast Reconstr Surg Glob Open. 2023 May 26;11(5):e5032. doi: 10.1097/GOX.0000000000005032. eCollection 2023 May.
3
Should Acellular Dermal Matrices Be Used for Implant-based Breast Reconstruction after Mastectomy? Clinical Recommendation Based on the GRADE Approach.乳房切除术后基于植入物的乳房重建是否应使用脱细胞真皮基质？基于GRADE方法的临床建议。
Plast Reconstr Surg Glob Open. 2023 Feb 22;11(2):e4821. doi: 10.1097/GOX.0000000000004821. eCollection 2023 Feb.
4
Delay in the initiation of adjuvant chemotherapy in patients with breast cancer with mastectomy with or without immediate breast reconstruction.乳腺癌改良根治术或即刻乳房重建术后辅助化疗开始时间延迟。
BJS Open. 2022 Jul 7;6(4). doi: 10.1093/bjsopen/zrac096.
5
Implant-Based Breast Reconstruction after Mastectomy, from the Subpectoral to the Prepectoral Approach: An Evidence-Based Change of Mind?乳房切除术后基于植入物的乳房重建：从胸大肌下途径到胸大肌前途径——观念基于证据的转变？
J Clin Med. 2022 May 30;11(11):3079. doi: 10.3390/jcm11113079.
6
Learning from the report of the independent medicines and medical devices safety review: "first do no harm".从独立药品和医疗器械安全审查报告中汲取经验：“首要之务，勿伤患者” 。
Scott Med J. 2022 Feb;67(1):2-6. doi: 10.1177/00369330211058467. Epub 2022 Jan 7.
7
Oncoplastic breast surgery: A guide to good practice.肿瘤整形乳房手术：实践指南。
Eur J Surg Oncol. 2021 Sep;47(9):2272-2285. doi: 10.1016/j.ejso.2021.05.006. Epub 2021 May 11.
8
Protocol for a mixed-method study to inform the feasibility of undertaking a large-scale multicentre study comparing the clinical and patient-reported outcomes of oncoplastic breast conservation as an alternative to mastectomy with or without immediate breast reconstruction in women unsuitable for standard breast-conserving surgery (the ANTHEM Feasibility Study).一项混合方法研究的方案，旨在为开展一项大规模多中心研究提供可行性依据，该研究将比较肿瘤整形保乳术与乳房切除术（无论是否立即进行乳房重建）在不适合标准保乳手术的女性中的临床和患者报告结局（ANTHEM可行性研究）。
BMJ Open. 2021 Apr 16;11(4):e046622. doi: 10.1136/bmjopen-2020-046622.
9
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.《全球癌症统计数据 2020：全球 185 个国家和地区 36 种癌症的发病率和死亡率估计》。
CA Cancer J Clin. 2021 May;71(3):209-249. doi: 10.3322/caac.21660. Epub 2021 Feb 4.
10
Current Trends in Prepectoral Breast Reconstruction: A Survey of American Society of Plastic Surgeons Members.胸前区乳房重建的当前趋势：美国整形外科医师协会会员调查
Plast Reconstr Surg Glob Open. 2020 Aug 19;8(8):e3060. doi: 10.1097/GOX.0000000000003060. eCollection 2020 Aug.