pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2025_20_2_71pirogovestnik-319Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESСРАВНИТЕЛЬНАЯ ХАРАКТЕРИСТИКА МОНОМЕТОДА ТОТАЛЬНОЙ РЕКОНСТРУКЦИИ МОЛОЧНОЙ ЖЕЛЕЗЫ ПОСРЕДСТВОМ ТРАНСПЛАНТАЦИИ СОБСТВЕННОЙ ЖИРОВОЙ ТКАНИ С ТРАДИЦИОННЫМИ МЕТОДАМИ РЕКОНСТРУКЦИИCOMPARATIVE CHARACTERISTICS OF THE MONOMETODE OF TOTAL BREAST RECONSTRUCTION BY TRANSPLANTATION OF OWN ADIPOSE TISSUE WITH TRADITIONAL RECONSTRUCTION METHODSФедосовС. И.FedosovS. I.

Санкт-Петербург

Saint Petersburg

S.Fedosov005@gmail.comОнницевИ. Е.OnnitsevI. E.

Москва

Moscow

ФедосоваК. Ю.FedosovaK. Yu.

Москва

Moscow

АО «Медицинский центр РАМИ»РоссияJSC RAMI Medical CenterRussian FederationГлавный военный клинический госпиталь имени академика Н.Н. БурденкоРоссияMain Military Clinical Hospital named after academician N.N. BurdenkoRussian Federation2025130520252027175Copyright © Федосов С.И., Онницев И.Е., Федосова К.Ю., 20252025Федосов С.И., Онницев И.Е., Федосова К.Ю.Fedosov S.I., Onnitsev I.E., Fedosova K.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/319

Представлены результаты ретроспективного анализа, проведенного восстановления формы и размера молочных желез у пациенток после радикальной мастэктомии. При сравнении трех групп пациенток в зависимости от послеоперационных осложнений было выявлено, что вероятность развития специфических осложнений легкой, средней и тяжелой степени в группе использования метода трансплантации собственной жировой ткани была ниже по сравнению с группами, в которых использовались двухэтапный метод реконструкции экспандер-имплант и TRAM-лоскут (p>0,05). При анализе результатов анкетирования пациенток по шкалам опросника BREAST-Q в послеоперационном периоде выявлено более значительное улучшение качества жизни и большая удовлетворенность результатом реконструктивной операции в группе метода трансплантации собственной жировой ткани (p<0,05). По результатам исследования сделан вывод, что монометод реконструкции молочной железы посредством трансплантации собственной жировой ткани может считаться методом выбора у пациенток после мастэктомии.

This study is based on the results of a retrospective analysis conducted to restore the shape and size of mammary glands in patients after radical mastectomy. When comparing the three groups of patients, depending on postoperative complications, it was found that the probability of developing specific complications of mild, moderate and severe degree in the group using the method of transplantation of own adipose tissue was lower compared with the groups using the two-stage reconstruction method expander implant and TRAM flap (p>0,05). When analyzing the results of the BREAST-Q questionnaire survey in the postoperative period, a more significant improvement in the quality of life and greater satisfaction with the result of reconstructive surgery were revealed in the group of patients with the method of transplantation of their own adipose tissue (p<0.05). Based on the results of the study, it was concluded that the monomethod of breast reconstruction through transplantation of own adipose tissue can be considered the method of choice in patients after mastectomy.

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The authors declare that there are no conflicts of interest present.