摘要
目的 探索脱细胞异体真皮辅助即刻乳房重建手术的可行性,并对其早期临床效果作出评价.方法 回顾性分析2009年9月至2010年5月,北京协和医院整形外科10例施行脱细胞异体真皮辅助的乳房重建手术的乳腺癌患者的临床资料,其中2例接受假体植入手术,8例接受扩张器植入手术.脱细胞异体真皮覆盖假体或扩张器的下、外侧1/3部分,胸大肌覆盖剩余的2/3部分.结果 10例中虽有2例发生感染,2例伤口裂开,但无一例假体或扩张器因并发症取出.术后平均随访4个月,重建乳房外形比较满意.结论 脱细胞异体真皮辅助的即刻乳房再造术创伤较小,在严格把握适应证的前提下,可以取得较好的临床效果.
Objective To investigate the feasibility and therapeutic effect of acellular cadaveric dermis（ACD）-assisted immediate breast reconstruction. Methods From Sep. 2009 to May 2010, 10 cases received ACD-assisted immediate breast reconstruction. During the operation, the ACD was used to cover inferior and lateral portion of the implants in 2 cases and expanders in 8 cases. Results The patients were followed up for an average period of 4 months with satisfactory breast appearance. The complications included infection in 2 cases and dehiscence in 2 cases. But no implant or expander was taken out. Conclusions The ACD-assisted immediate breast reconstruction is a technically simple procedure with minimal morbidity. Satisfactory clinical outcome can be achieved with appropriate candidates.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2011年第4期250-253,共4页
Chinese Journal of Plastic Surgery
关键词
乳房再造术
假体和植入物
软组织扩张器
脱细胞异体真皮
Breast reconstruction
Prostheses and implants
Soft tissue expander
Acellular human dermis
