皮肤无细胞基质材料在乳房假体重建中的运用情况

Application of Acellular Dermal Matrix in Implant-Based Breast Reconstruction

目的了解皮肤无细胞基质材料在乳房假体重建中的应用情况及研究进展。方法查阅近年来有关皮肤无细胞基质材料在乳房假体重建中应用的相关文献并进行分析总结。结果皮肤无细胞基质材料广泛应用于乳房假体重建及乳房调整性手术,能精确控制乳房下皱襞及增强周围组织对假体的控制从而获得较好的重建效果,但是其是否会增加乳房假体重建术后的并发症发生率目前尚无统一的结论。结论皮肤无细胞基质材料辅助的假体重建能取得较为满意的重建效果,目前亟需大样本随机对照试验评估其运用的效果及风险。

Objective To understand the application of acellular dermal matrix（ADM） in implant-based breast reconstruction. Method Literatures on application of ADM in the implant-based breast reconstruction were reviewed. Results ADM was widely used in the implant-based breast reconstruction and revisionary breast surgery. ADM could help to achieve a better reconstruction outcome by precisely locating the inferior mammary fold and strengthening the local control of the implant. However, whether ADM might increase the postoperative complications was controversial. Conclusion ADM assisted implant-based breast reconstruction could achieve a better cosmetic outcome, but the large sample randomized controlled trial is needed to evaluate the application effect and risk of ADM.