丹麥「哥本哈根大學醫院」整型外科教授來函，請求「自體脂肪隆乳」的統計資料。

丹麥「哥本哈根大學醫院」整型外科教授來函 Copenhagen University Hospital, Denmark

親愛的邱醫師，

發表在美國美容外科醫學期刊的論文「乳房假體取出後的自體脂肪隆乳」

我們將引用您之前發表的論文「乳房假體取出後的自體脂肪隆乳」，做為我們的統合分析綜述論文的研究資料。

我們希望將您論文中B組患者的資料列入我們的研究，然而，您「乳房假體取出後的自體脂肪隆乳」論文中說，這組病人包括乳癌手術後的病人，還有乳房不對稱的人接受自體隆乳手術的資料。

希望您提供自體脂肪隆乳患者的統計資料

如果可能，是否可以提供那些單純只為乳房增大而做的隆乳手術的患者的資料？如果您有自體豐胸的原始資料，您可以寄給我們，我們會自行擷取需要的部分，這些資料只會用在這一次的研究。

期待能得到您的回覆

我們有附件一個 excel 檔案，讓您看我們如何組織資料，如果您願意為我們填入對應的資料那當然更好。

我們非常期待能有您的消息，如果您有任何疑問，請不要猶豫寫信給我們。

最好的祝福。

原文照登

邱醫師回函：

Dear all,

The indications for autologous fat grafting to the breasts included correction of congenital asymmetry, augmentation of the breast after surgical removal of breast cancer, and cosmetic augmentation. The ratio at the time of the study was 12 %, 1% and 87 % respectively, meaning that the total number of the cases for purely cosmetic augmentation was 326 x 87% = 284.

Some patients underwent 2nd session of treatment. A small number of these patients underwent 3rd session of treatment. The mean session of treatment was 1.3.

For those who underwent 3 sessions of augmentation the number of breasts operated was accumulated up to 6 breasts for one patient, explaining why the number of breasts exceeded the number of patient so much. No patient underwent 4th session of fat grafting, therefore, the mean volume of session 4 was empty.

Total injected volume equals [mean volume per session] x [mean number of session] if there is no misunderstanding. The complication rate for these patients was 6.7 % (19 cases in 284 patients) including 2 fat necrosis, 2 postoperative infection, and 15 indurations found.

When the study was conducted, only the data after 1st session of treatment was included. The change in breast size and follow-up time were analyzed for the 1st treatment resulting in a longer follow-up time as compared with the the follow-up time starting from the last treatment.

Collectively, these data were for the patients underwent cosmetic breast augmentation with fat grafting. They did not have previous breast surgeries or other therapeutic procedures of the breasts. In our experience, patients who underwent implant removal before fat grafting to the breasts had significantly higher postoperative complication rates.

If I can be of any more help, please feel free to contact me again.

Best regards.

Dr. Chiu