胸肌前假体植入乳房重建:更优的乳腺切除一期重建方案  

Breast reconstruction with prepectoral prosthesis implantation:a better one-stage reconstruction for mammectomy

作　　者：曹长青 张伟 何显力 高源 赵华栋 CAO Changqing;ZHANG Wei;HE Xianli;GAO Yuan;ZHAO Huadong(Department of General Surgery,Tangdu Hospital,Air Force Medical University,Xi'an 710038,China;Department of Biopharmaceutics,School of Pharmacy,Air Force Medical University,Xi'an 710032,China)

机构地区：[1]空军军医大学唐都医院普外科,陕西西安710038 [2]空军军医大学药学系生物制药学教研室,陕西西安710032

出　　处：《空军军医大学学报》2023年第4期363-368,共6页Journal of Air Force Medical University

基　　金：国家自然科学基金(81902678);陕西省重点研发计划一般项目(2021SF-223)。

摘　　要：乳腺癌是女性第一高发恶性肿瘤,早期乳腺癌的治疗方式是手术治疗。为了减轻患者心理负担和改善上肢功能,对乳房重建术的需求越来越多,其中假体植入乳房重建术最为广泛。本文将对胸肌前平面假体植入一期乳房重建进行全面综述,包括手术安全性、美学和功能学效果、手术效果的影响因素等方面,并进一步讨论该术式未来的发展前景和局限性,为临床医生提供全面的乳腺癌保乳术一期重建胸肌前平面假体植入术的术前指导,在确定术式、规避手术并发症以及促进患者康复等方面起到指导作用。Breast cancer is the malignant tumor with the highest incidence in women,and the treatment of early breast cancer is surgery.In order to reduce the psychological burden of patients and improve the function of upper limbs,there is an increasing demand for breast reconstruction,in which breast reconstruction with prepectoral prosthesis implantation is the most widespread.This paper will comprehensively review one-stage breast reconstruction with prepectoral prosthesis implantation,including surgical safety,aesthetic and functional effects,and influencing factors of surgical results,and further discuss the development prospects and limitations of this surgery,so as to provide clinicians with comprehensive preoperative guidance for one-stage breast reconstruction with prepectoral prosthesis implantation,which plays a guiding role in determining the operation mode,avoiding surgical complications and promoting patients rehabilitation.

关 键 词：胸大肌乳房间隙 脱细胞真皮基质补片 乳腺癌 Breast-Q评分 乳房重建 

分 类 号：R937.9[医药卫生—生药学]