纹理植入物与乳房植入物相关的非典型大细胞淋巴瘤有关。接受植入物摘除的患者有重建的选择，但有关安全性和患者报告的结果（PROs）的数据有限。本研究的目的是对选择接受纹理植入物手术管理的患者的并发症和PROs进行分类。比较了（i）无症状患者从纹理转为平滑植入物进行的转换（n=224）、（ii）有症状患者从纹理到平滑植入物进行的转换（n=83）、（iii）进行摘除植入物但无置换的患者（n=44）和（iv）使用自体重建进行置换的患者（n=33）的并发症率和BREAST-Q评分。线性回归分析PROs，控制临床和手术变量。384名患者（637个植入物）的总体并发症率在不同组之间有所不同（p=0.034），无置换患者的并发症率最高（25%）。这些患者特别受到轻微并发症的影响，尤其是血清性渗液。囊壁切除范围并没有显著影响并发症。无症状和有症状的平滑植入物患者乳房满意度有所改善（<0.05）。自体重建患者术后3个月后乳房满意度显著改善（p<0.01），术后6个月后性福感持续改善（p<0.05）。与其他组相比，进行移除而不置换的患者重要的胸部身体状况评分在≥1年时较低。用平滑植入物或皮瓣替换纹理植入物是安全的，并且与乳房满意度和生活质量提高有关。囊壁切除程度似乎不影响围手术期并发症的发生率。版权所有 ©2023年美国整形外科医师协会。

Textured implants have been linked to breast implant-associated anaplastic large-cell lymphoma. Patients who undergo explantation have options for reconstruction, but data on safety and patient-reported outcomes (PROs) is limited. The purpose of this study was to classify complications and PROs in patients opting for surgical management of textured implants.Complication rates and BREAST-Q scores were compared between (i) asymptomatic patients who underwent conversion from textured to smooth implants (n=224), (ii) symptomatic patients who underwent conversion from textured to smooth implants (n=83), (iii) patients who underwent explantation without replacement (n=44), and (iv) patients who underwent replacement with autologous reconstruction (n=33). Linear regression examined PROs controlling for clinical and surgical variables.Overall complication rates in 384 patients (637 implants) differed across groups (p=0.034) with the highest rate (25%) in patients who underwent explantation without replacement. These patients were specifically more impacted by minor complications, notably seroma. Capsulectomy extent did not significantly impact complications. Asymptomatic and symptomatic smooth implant patients had improvements in satisfaction with breasts (<0.05). Autologous reconstruction patients had significant improvements in satisfaction with breasts sustained after 3 months postoperative (p<0.01) and sexual well-being sustained after 6-months postoperative (p<0.05). Patients who underwent removal without replacement had lower physical well-being of the chest scores at ≥1 year than the other groups.Replacement of textured implants with smooth implants or flaps is safe and is associated with improved satisfaction with breasts and quality of life. The degree of capsulectomy does not appear to impact the incidence of perioperative complications.Copyright © 2023 by the American Society of Plastic Surgeons.