假体联合自体脂肪移植在二期法乳房重建中的临床疗效及安全性分析OA

Objective To evaluate the effectiveness and safety of the combined application of prosthesis and fat grafting in two-stage breast reconstruction after breast cancer surgery.Methods From November 2021 to June 2024,42 patients who underwent two-stage breast reconstruction with prosthesis combined with fat grafting in the hospital were enrolled.Results All the 42 patients were satisfied with the cosmetic results.The ratio of prosthesis volume to fat graft volume was 1.06±0.21.The preoperative breast shape score was 1.05±0.22,and the breast shape score was 2.67±0.48 at 6 months after surgery.The breast shape was significantly improved at 6 months after surgery(P＜0.001).The fat survival rate was(51.66±7.07)%6 months after operation.No complications such as prosthesis exposure,displacement,or surgical site infection occurred.Subcutaneous nodules could be palpated in 2 cases 6 months after the operation.The satisfaction rate of patients is 95.24%.Conclusion Breast reconstruction with prosthesis combined with fat grafting after breast cancer surgery is a safe and effective method to improve the shape of both breasts.