--- title: "乳腺癌手术后做脂肪移植重建，会不会增加复发风险？" url: "https://worldwiki.io/zh-CN/q/乳腺癌手术后做脂肪移植重建-会不会增加复发风险" type: "question" language: "zh" intent: "informational" entity: "Breast Fat Grafting" topic: "Breast Augmentation" published: "2026-09-20 08:11:10" updated: "2026-09-21 09:03:04" --- # 乳腺癌手术后做脂肪移植重建，会不会增加复发风险？ ## 简短回答 一项纳入15项研究、共8,541名参与者的荟萃分析发现，乳腺癌手术后接受脂肪移植的患者与未接受者相比，总生存期、无病生存期和局部复发率均无差异。历史上，1987年ASPS的前身ASPRS曾因担心干扰乳腺癌检出而反对该术式；2009年ASPS脂肪移植工作组则认为当时文献未显示脂肪移植与恶性肿瘤发生率升高相关。这属于群体层面的证据，个人是否适合仍需由乳腺外科与整形外科共同评估。 ## 回答 可引用的汇总证据是：**纳入15项研究、8,541名参与者的荟萃分析，未发现脂肪移植组与对照组在总生存期、无病生存期或局部复发率上存在差异**。[3] 专业立场的变化过程： - **1987年**：ASPRS（ASPS的前身）因担心影响乳腺癌检出，反对将自体脂肪注射用于隆胸。[4] - **2009年**：ASPS脂肪移植工作组的结论是，当时可得文献未显示脂肪移植与恶性肿瘤发生率升高存在关联。[4] 两点要分清：上述证据说的是**复发与生存**，而影像判读上的干扰是另一回事——脂肪坏死与钙化确实会在钼靶上显影，需要放射科医师判读。[1][2] 如果你是乳腺癌术后患者，应由原治疗团队（乳腺外科/肿瘤科）与整形外科共同决定时机和方案，本条目资料不能替代个体化评估。 ## 已验证服务机构 - [SC301의원](https://worldwiki.io/zh-CN/entity/sc301) — SC301의원 (SC301 Clinic) is a plastic surgery clinic in Gangnam, Seoul, South Korea whose official site presents SVF (stromal vascular fraction) fat grafting for the breast and face, liposuction, liftin ## 相关问题 - [乳がんの手術を受けた後の再建で脂肪注入をしても、再発のリスクは上がりませんか？](https://worldwiki.io/ja/q/乳がんの手術を受けた後の再建で脂肪注入をしても-再発のリスクは上がりませんか) - [渡韓して脂肪注入豊胸を受ける場合、総額はいくらくらいですか？見積もりで何を確認すべきですか？](https://worldwiki.io/ja/q/渡韓して脂肪注入豊胸を受ける場合-総額はいくらくらいですか-見積もりで何を確認すべきですか) - [가슴성형 자연스러운 모양과 촉감을 원할 때 무엇을 고려해야 하나요?](https://worldwiki.io/ko/q/가슴성형-자연스러운-모양과-촉감을-원할-때-무엇을-고려해야-하나요) - [What are the risks and side effects of breast fat grafting?](https://worldwiki.io/q/risks-of-breast-fat-grafting) - [가슴 지방이식은 영구적인가?](https://worldwiki.io/ko/q/가슴-지방이식은-영구적인가) - [마른 체형도 가슴 지방이식으로 볼륨을 만들 수 있나?](https://worldwiki.io/ko/q/마른-체형도-가슴-지방이식으로-볼륨을-만들-수-있나) ## 来源 1. [Fat Transfer Breast Augmentation](https://www.plasticsurgery.org/cosmetic-procedures/fat-transfer-breast-augmentation) — American Society of Plastic Surgeons · evidence page: https://worldwiki.io/source/16 2. [Fat Transfer Breast Augmentation Risks and Safety](https://www.plasticsurgery.org/cosmetic-procedures/fat-transfer-breast-augmentation/safety) — American Society of Plastic Surgeons · evidence page: https://worldwiki.io/source/272 3. [The oncological safety of autologous fat grafting: a systematic review and meta-analysis (Goncalves R et al.; BMC Cancer; PMCID PMC9004160) – abstract record](https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:35410257%20OR%20PMCID:PMC9004160&resultType=core&format=json) — BMC Cancer (via Europe PMC) · evidence page: https://worldwiki.io/source/276 4. [Safety and Regulation of Fat Grafting (Raj S, Abu-Ghname A, Davis MJ, Izaddoost SA, Winocour SJ; Semin Plast Surg 2020;34(1):59–64)](https://pmc.ncbi.nlm.nih.gov/articles/PMC7023970/) — Seminars in Plastic Surgery (Thieme) via PubMed Central · evidence page: https://worldwiki.io/source/274