钛化聚丙烯网片在即刻乳房重建中的临床应用

背景与目的：乳房切除术后单纯植入物重建由于组织覆盖量不足常采用二期手术的方式进行，新型钛化聚丙烯网片(titanium-coated polypropylene mesh，TCPM)作为植入物的有效包被被应用于即刻乳房重建。该研究旨在评价钛化聚丙烯网片用于乳腺肿瘤患者行即刻乳房重建的术后效果及患者满意度。方法：选取符合适应证的患者，在乳房切除术后行即刻乳房重建手术，术中使用假体联合网片的手术方式。术后予以定型包扎，并随访3~15个月，平均随访时间为9个月。记录患者乳房柔软程度、乳房形态及对称性等指标，并在末次随访(不少于术后3个月)时统计患者满意度。结果：20例均无手术并发症发生，术后乳房客观标准评价：优5例，良15例，患者对术后乳房柔软度、乳房形态均满意，无不满意案例。结论：使用钛化聚丙烯网片行乳房重建手术方式简单易行，对患者创伤较小，恢复快，且术后乳房较为柔软，形态自然，患者满意度高。

The application of titanium-coated polypropylene mesh in immediate breast reconstruction

Background and purpose: The inadequate cover of implant-based breast reconstruction leads to the delayed-immediate reconstruction. With the development of material technology, the titanium-coated polypropylene mesh (TCPM, TiLOOP®Bra) has been considered a sufficient cover for immediate breast reconstruction (IBR). A postoperative follow-up was undertaken of the patients undergoing IBR with TCPM. Postoperative results and the satisfaction of the patients were considered. Methods: IBR with TCPM was performed for the patients with operative indications. Patients were dressed professionally after operation. The follow-up period was 3 to 15 months, and the average was 9 months with recording the breast softness, breast forms and symmetry. The subjective and objective evaluation of surgical outcomes were carried out, and patient satisfaction was surveyed at the final follow-up. Results: No postoperative complication was observed. The objective evaluation showed that 5 patients were excellent and 15 patients were good. In subjective assessment, all patients were satisfied in breast softness and forms. Conclusion: TCPM for IBR is a simple surgical procedure with less trauma, rapid recovery and high satisfaction. The postoperative breast is soft with natural form.