| 摘要: |
| ［摘要］ 目的 评估单侧腔镜假体植入乳房重建/隆乳联合对侧腔镜/开放背阔肌±假体乳房重建在乳腺癌患者中的临床疗效。方法 前瞻性分析2021年1月至2024年5月在四川大学华西医院接受单侧腔镜假体植入乳房重建/隆乳联合对侧腔镜/开放背阔肌±假体乳房重建的16例乳腺癌患者（32个乳房）的临床资料，以评估该术式临床疗效。结果 中位随访时间为10.50个月，手术相关并发症发生率为18.75%（6/32），美容学并发症发生率为15.63%（5/32），Harris量表评分优秀及良好总占比为81.25%（13/16），Ueda评分优秀及良好总占比为87.50%（14/16），SCAR-Q外观量表评分为（56.56±20.77）分。1例术后出现远处转移，1例局部和区域复发，无死亡病例。结论 单侧腔镜假体植入乳房重建/隆乳联合对侧腔镜/开放背阔肌±假体乳房重建术后乳房美观度好，手术时间短，值得临床推广应用。 |
| 关键词: 乳房重建 背阔肌肌皮瓣 腔镜手术 乳腺癌 对侧预防性乳房切除 |
| DOI：10.3969/j.issn.1674-3806.2024.10.02 |
| 分类号: |
| 基金项目:四川大学华西医院临床研究孵化项目（编号：2022HXFH004） |
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| The application of unilateral endoscopic breast reconstruction/breast augmentation with prosthesis combined with contralateral endoscopic/open breast reconstruction of the latissimus dorsi muscle±prosthesis |
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DAI Hui1,2, ZHU Zhongjian1,2, LIANG Faqing1,2, XIE Yanyan1,2, ZHONG Jiayuan1,2, ZHANG Qing1,2, LI Tianyuan1,2, DU Zhenggui1,2
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1.Department of General Surgery, West China Hospital of Sichuan University, Chengdu 610041, China; 2.Breast Disease Center, West China Hospital of Sichuan University, Chengdu 610041, China
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| Abstract: |
| ［Abstract］ Objective To assess the clinical efficacy of unilateral endoscopic breast reconstruction/breast augmentation with prosthesis combined with contralateral endoscopic/open breast reconstruction of the latissimus dorsi muscle±prosthesis in breast cancer patients. Methods The clinical data of 32 breasts in 16 breast cancer patients undergoing unilateral endoscopic breast reconstruction/breast augmentation with prosthesis combined with contralateral endoscopic/open breast reconstruction of the latissimus dorsi muscle±prosthesis from January 2021 to May 2024 in West China Hospital of Sichuan University were prospectively analyzed to assess the clinical efficacy of this surgical method. Results The median follow-up time was 10.50 months, and the incidence of surgery-related complications was 18.75%(6/32), and the incidence of cosmetic surgery-related complications was 15.63%(5/32). Harris scale scoring was performed on the patients, and 81.25%(13/16) of the patients obtained excellent Harris scale scores and good Harris scale scores. Ueda scoring was performed on the patients, and 87.50%(14/16) of the patients obtained excellent Ueda scores and good Ueda scores. The SCAR-Q appearance scale scores of the patients were (56.56±20.77)points. Distant metastasis occurred in 1 patient after surgery, and local and regional recurrence occurred in 1 patient, and no deaths occurred. Conclusion The surgical method of unilateral endoscopic breast reconstruction/breast augmentation with prosthesis combined with contralateral endoscopic/open breast reconstruction of the latissimus dorsi muscle±prosthesis has the advantages of favorable breast aesthetics and short operation time, which is worthy of clinical popularization and application. |
| Key words: Breast reconstruction Latissimus dorsi flap Endoscopic surgery Breast cancer Contralateral prophylactic mastectomy |
