单孔充气法腔镜胸肌前一期假体植入乳房重建术临床分析

Clinical analysis of breast reconstruction with single-port inflatable endoscopic prepectoral prosthesis implantation

目的探讨单孔充气法腔镜胸肌前一期假体植入乳房重建术(体外假体包裹Off-Label)的手术方法和临床应用价值。方法回顾性分析2021年9月—2022年2月于首都医科大学附属北京友谊医院接受单孔充气法腔镜胸肌前一期假体植入乳房重建术(Off-Label)的7例乳腺癌患者的病例资料,对手术并发症、术后运动畸形、术后胸壁疼痛、术后患者的生活质量和满意度评分进行统计分析。结果7例患者均顺利完成手术。无术后出血、感染、乳头乳晕或皮瓣缺血坏死、术后运动畸形、术后胸壁疼痛、包膜挛缩、假体外露或取出等并发症。采用BREAST-Q量表评估乳房重建术后生活质量及满意度,术后乳房满意度(55~100分)、胸壁状态(52~89分)、社会心理状态(62~100分)可获得较高评分。结论单孔充气法腔镜胸肌前一期假体植入乳房重建术(Off-Label)可通过较短的手术时间,获得较好的根治效果和美容效果,患者术后生活质量和满意度均较高。

Objective:To investigate the surgical method and clinical application value of single-port inflatable endoscopic prepectoralis prosthesis implantation for breast reconstruction(external prosthesis wrapping Off-Label).Methods:From September 2021 to February 2022,7 breast cancer patients who underwent single-port inflatable endoscopic prepectoralis prosthesis implantation breast reconstruction(Off-Label)in Beijing Friendship Hospital,Capital Medical University were retrospectively analyzed.Statistical analysis of surgical complications,postoperative movement deformities,postoperative chest wall pain,postoperative quality of life and satisfaction scores of patients were conducted.Results:All 7 patients successfully completed the operation.There were no complications such as postoperative bleeding,infection,ischemic necrosis of nipple-areola complex or skin flap,postoperative movement deformity,postoperative chest wall pain,capsular contracture,prosthesis exposure or removal.The BREAST-Q scale was used to evaluate the quality of life and satisfaction after breast reconstruction.Postoperative breast satisfaction(55-100 points),chest wall status(52-89 points),and social psychological status(62-100 points)can be compared High rating.Conclusion:The single-port inflatable endoscopic prepectoral prosthesis implantation breast reconstruction(Off-Label)can achieve better radical effect and cosmetic effect through a shorter operation time,and the postoperative quality of life and satisfaction of patients are higher.