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乳房切除术后放疗在肿瘤治疗获益的同时,也会增加重建术后并发症,并可能影响术后关学效果。近年来,即刻乳房重建已成为乳房重建的趋势。本文探讨了放疗与即刻乳房重建的相互影响,以及影响放疗并发症的因素。分析认为,通过选择个体化的乳房重建方案,改进放疗技术和重建技术,放疗与即刻乳房重建的相互影响将逐渐减少。可以为术后需要放疗而又有强烈即刻乳房重建要求的患者实施即刻重建。但此观点尚需进行前瞻性临床研究证实,并应在术前向患者充分告知这种可能的相互影响。
Radiotherapy after mastectomy will benefit the treatment of cancer, but it will also increase postoperative complications of reconstruction and may affect postoperative outcomes. In recent years, immediate breast reconstruction has become the trend of breast reconstruction. This article explores the interaction between radiotherapy and immediate breast reconstruction, as well as the factors that affect the complications of radiotherapy. According to the analysis, by selecting individualized breast reconstruction programs and improving radiotherapy and reconstruction techniques, the interaction between radiotherapy and immediate breast reconstruction will gradually decrease. Immediate reconstruction can be performed for patients who require postoperative radiotherapy and have a strong immediate breast reconstruction requirement. However, this view still needs to be confirmed by prospective clinical studies, and patients should be fully informed of this possible interaction before surgery.