Hammerstad M, Dahl B H, Rindal R, Kveim M R, Roald H E
Department of Surgical Oncology, Norwegian Radium Hospital, Oslo, Norway.
Scand J Plast Reconstr Surg Hand Surg. 1996 Mar;30(1):33-6. doi: 10.3109/02844319609072402.
Many women desire some kind of reconstruction after mastectomy for breast cancer to improve the cosmetic result. Since the introduction of silicone breast implants, capsular contracture has been the most common complication of breast augmentation or reconstruction. The aim of the present study was to evaluate the capsule quality in patients with breast cancer who had undergone reconstructions with either textured (rough) or smooth silicone implants after simple or modified radical mastectomy. Forty-three consecutive patients had reconstructions with textured silicone implants (49 implants) and were evaluated 32 months post-operatively in a prospective clinical trial. The last 43 consecutive patients who had reconstructions with bilumen smooth silicone implants (49 implants) acted as controls. The results were graded by Baker's classification. Among the patients with textured implants only 9% (4/47) was graded as having moderate or severe capsular contracture in contrast to 24% (11/46) in patients with bilumen smooth-surface implants (p < 0.05). These results confirm previous reports that favour textured silicone implants in breast augmentation and reconstruction.
许多乳腺癌患者在乳房切除术后希望进行某种形式的重建以改善外观效果。自硅胶乳房植入物问世以来，包膜挛缩一直是隆胸或乳房重建最常见的并发症。本研究的目的是评估在单纯性或改良根治性乳房切除术后使用带纹理（粗糙）或光滑硅胶植入物进行重建的乳腺癌患者的包膜质量。43例连续患者使用带纹理的硅胶植入物进行了重建（49枚植入物），并在一项前瞻性临床试验中于术后32个月进行了评估。最后43例连续使用双腔光滑硅胶植入物进行重建的患者（49枚植入物）作为对照。结果根据贝克分类法进行分级。在使用带纹理植入物的患者中，只有9%（4/47）被评为中度或重度包膜挛缩，而使用双腔光滑表面植入物的患者中这一比例为24%（11/46）（p<0.05）。这些结果证实了先前的报道，即在隆胸和乳房重建中倾向于使用带纹理的硅胶植入物。
