摘要
随着腔镜技术的普及和补片材料的应用,切口裂开、切口感染、包膜挛缩等胸肌前假体乳房重建术后并发症逐渐减少,胸肌前假体乳房重建术逐渐被临床医生重新认识.相比于胸肌前假体乳房重建术,胸肌后假体乳房重建术的缺陷日渐凸显,包括术后疼痛、胸大肌功能减退、运动畸形,以及放疗后可能引发的乳房变形、乳头乳晕复合体上移等问题,显著影响病人的生活质量.胸肌前假体乳房重建术的应用需要综合考虑皮褶厚度、病人对外观和触感的要求以及补片材料的可用性等因素.
Abstract
With the development of laparoscopic surgery and the application of implant materials,postoperative complications such as incision disruption,incision infection,and capsular contracture after prepectoral implant-based breast reconstruction have gradually decreased,and the feasibility of this method has been gradually reacquainted by clinicians.Compared to prepectoral implant-based breast reconstruction,the shortcomings of subpectoral implant-based breast reconstruction have increasingly emerged,including postoperative pain,impairment of pectoralis major muscle function,deformity during movement,and the possibility of breast deformation and elevation of the nipple-areola complex,which significantly affect patients'life quality.The indications for prepectoral implant-based breast reconstruction surgery need to comprehensively consider factors such as the thickness of skin folds,aesthetic and tactile requirements,and the availability of implant materials.