Crespo L D, Eberlein T J, O'Connor N, Hergrueter C A, Pribaz J J, Eriksson E
Plastic Surgery Division, Brigham and Women's Hospital, Boston, MA 02115.
Ann Plast Surg. 1994 May;32(5):452-6. doi: 10.1097/00000637-199405000-00002.
In a group of patients where breast reconstruction was performed at the time of mastectomy, the incidence of complications was studied. One hundred one consecutive patients had an autologous reconstruction using the transverse rectus abdominis musculocutaneous flap, and 115 consecutive patients had a prosthetic reconstruction with tissue expanders or with tissue expander and/or implant. One patient in the autologous reconstruction group had a cardiac arrhythmia requiring monitoring, but there were no other serious complications. Infection was more common in the group undergoing prosthetic reconstruction (5% compared with 3% in the autologous reconstruction group). A total of 8% of the patients in the group undergoing prosthetic reconstruction had to have their implants removed because of infection or exposure of the implant. Seven percent of the transverse rectus abdominis musculocutaneous flap patients had significant necrosis of a portion of the flap. Secondary surgical revision of the reconstructed breast was much more common (20%) in the prosthetic reconstruction group compared with 6% in the autologous reconstruction group.
在一组乳房切除时同期进行乳房重建的患者中，对并发症的发生率进行了研究。101例连续患者采用腹直肌肌皮瓣进行自体乳房重建，115例连续患者采用组织扩张器或组织扩张器和/或植入物进行假体乳房重建。自体乳房重建组有1例患者出现心律失常需要监测，但无其他严重并发症。假体乳房重建组感染更为常见（5%，而自体乳房重建组为3%）。假体乳房重建组共有8%的患者因感染或植入物外露而不得不取出植入物。腹直肌肌皮瓣患者中有7%出现皮瓣部分明显坏死。与自体乳房重建组的6%相比，假体乳房重建组乳房重建的二次手术修复更为常见（20%）。
