CAJ | 학술논문

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.
목적 탐색탈세포이체진피보조즉각유방중건수술적가행성,병대기조기림상효과작출평개.방법 회고성분석2009년9월지2010년5월,북경협화의원정형외과10례시행탈세포이체진피보조적유방중건수술적유선암환자적림상자료,기중2례접수가체식입수술,8례접수확장기식입수술.탈세포이체진피복개가체혹확장기적하、외측1/3부분,흉대기복개잉여적2/3부분.결과 10례중수유2례발생감염,2례상구렬개,단무일례가체혹확장기인병발증취출.술후평균수방4개월,중건유방외형비교만의.결론 탈세포이체진피보조적즉각유방재조술창상교소,재엄격파악괄응증적전제하,가이취득교호적림상효과.
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.