胸肌前假体植入乳房重建:更优的乳腺切除一期重建方案

Breast reconstruction with prepectoral prosthesis implantation:a better one-stage reconstruction for mammectomy

乳腺癌是女性第一高发恶性肿瘤,早期乳腺癌的治疗方式是手术治疗。为了减轻患者心理负担和改善上肢功能,对乳房重建术的需求越来越多,其中假体植入乳房重建术最为广泛。本文将对胸肌前平面假体植入一期乳房重建进行全面综述,包括手术安全性、美学和功能学效果、手术效果的影响因素等方面,并进一步讨论该术式未来的发展前景和局限性,为临床医生提供全面的乳腺癌保乳术一期重建胸肌前平面假体植入术的术前指导,在确定术式、规避手术并发症以及促进患者康复等方面起到指导作用。

Breast cancer is the malignant tumor with the highest incidence in women,and the treatment of early breast cancer is surgery.In order to reduce the psychological burden of patients and improve the function of upper limbs,there is an increasing demand for breast reconstruction,in which breast reconstruction with prepectoral prosthesis implantation is the most widespread.This paper will comprehensively review one-stage breast reconstruction with prepectoral prosthesis implantation,including surgical safety,aesthetic and functional effects,and influencing factors of surgical results,and further discuss the development prospects and limitations of this surgery,so as to provide clinicians with comprehensive preoperative guidance for one-stage breast reconstruction with prepectoral prosthesis implantation,which plays a guiding role in determining the operation mode,avoiding surgical complications and promoting patients rehabilitation.