摘要
目的 介绍扩张后假体置入乳房再造术在乳癌改良根治术后乳房缺损、单纯乳腺腺体切除及乳房不对称畸形患者中的应用.方法 将圆形扩张器埋置于胸大肌深面,超量注水30%～50%扩张后,维持3个月以上,二期将扩张器更换为乳房假体.结果 临床应用9例,13侧乳房,其中乳癌改良根治术后乳房缺损2例2侧,单纯乳腺腺体切除4例8侧,乳房不对称畸形3例3侧,最长随访2年,效果满意.结论 扩张后假体置入乳房再造可以使患者获得接近对侧乳房的形态和大小,且没有再造术附加供区的创伤.放疗会增加并发症的发生,需要放疗的患者慎用此法.
Objective To investigate the application of breast reconstruction that permits the surgeon to expand and recruit sufficient tissue for modified radical mastectomy, skin-sparing mastectomy and asymmetry deformity, Methods Placement of round tissue expander in subpectoral position below. Overexpansion of tissue expander to match over 30% - 50% opposite breast. After 3 months, removal of tissue expander and replacement with permanent implant, Results Postoperative follow-up for 3 months to 2 years demonstrated satisfactory results in all the cases.Conclusions The breast reconstruction with a subpectoral silicone tissue expander is an ideal treatment in modified cadical mastectomy,skin-sparing mastectomy and asymmetry deformity.The women can obtain a restored breast to approximate a full opposite breast and avoids a major distant surgical intervention and additional sears. Tissue expansion should be cantiously used in cases of patiants with irradiated chest skin.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2006年第3期185-187,共3页
Chinese Journal of Plastic Surgery
关键词
组织扩张
乳房再造
Tissue expander
Breast reconstruction
