基于假体的即刻乳房重建术的评价

Mohamed Hamed Elmeligy, Mohamed Sabry Ammar, Ahmed Fawzy Ahmed Dewidar, Mohamed Abdullah Elnahas
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摘要

背景:乳房切除术后乳房重建可以减轻这种毁灭性疾病对女性的一些情感和美学影响。虽然同种异体和自体技术多种多样,但它们的目的都是为了实现尽可能自然的乳房丘的成功重建。方法:本研究将对Menoufia大学普通外科的19例患者进行随机选择,结果:在我们研究的患者中,31.6%的患者在重建后出现了术后并发症。在我们研究的患者中,血清肿和轻微感染占31.6%,其次是不对称(26.3%),不可接受的疤痕(21.1%),疼痛(21.1%),乳晕色素沉着(15.8%),手臂运动受限,麻木或刺痛(15.8%),血肿和伤口愈合延迟(10.5%)。研究人群术后6个月EORTC生活质量问卷C30 (QLQ‐C30)较术前有显著改善。结论:采用假体进行乳房再造术的妇女对手术效果满意,并发症少。乳房重建手术已被证明可以大大提高患者的满意度和生活质量。我们能够使用BREAST-Q对患者满意度的评估来确定我们可以提高服务的领域。
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Evaluation of Implant Based Immediate Breast Reconstruction
Objectives: To evaluate immediate breast reconstruction using silicone implant regarding: advantage, disadvantage, complications and aesthetic outcomes, Background: Reconstruction after mastectomy allows women to mitigate some of the emotional and aesthetic effects of this devastating disease. Although there are a variety of alloplastic and autologous techniques, they all aim to achieve the same objective: the successful reconstruction of a breast mound that appears as natural as possible, Methods: This study will be conducted on 19 patients at General Surgery Department, Menoufia University and Patients will be randomly selected, Results: Among our studied patients 31.6% developed post-operative complications after reconstruction. Among our studied patients Seroma and Minor infection were developed in 31.6% for each followed by lack of symmetry in 26.3 than unacceptable scar, pain in 21.1% for each then areola Depigmentation, restricted arm movement, numbness or tingling in 15.8% for each then hematoma and delayed wound healing in 10.5% for each. There was a significant improvement of EORTC Quality of Life Questionnaire C30 (QLQ‐C30) 6 month after operation than before operation in the studied population. Conclusion: Women who had breast reconstruction with implants were quite happy with the results and experienced minimal complications. Reconstructive surgery on the breast has been shown to substantially improve both patient satisfaction and quality of life. We were able to use BREAST-Q's evaluation of patient satisfaction to pinpoint areas where we might enhance our services.
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