摘要
目的探讨早期乳腺癌改良根治术后Ⅰ期假体乳房再造。方法1998年3月至2005年9月,对26例早期乳腺癌在行保留乳头乳晕复合体的皮下乳腺癌改良根治术后以国产硅凝胶假体植入胸大肌后Ⅰ期进行乳房再造,术后常规综合治疗。结果26例手术均获成功,但5例乳头乳晕部分皮肤发生缺血坏死,通过换药愈合,1例出现皮下积液,通畅引流后消除。随访1～90个月,无一例复发和远处转移。乳房美容效果良好占69.2%,一般占19.2%,较差占11.5%。结论保留乳头乳晕复合体的皮下乳腺癌改良根治术后Ⅰ期假体乳房再造术,手术操作简单易行,创伤小,恢复快,美容效果满意,是适合早期乳腺癌患者的一种安全有效的手术方式。
Objective To explore immediate breast reconstruction（IBR） with silicone prosthesis after nipple areola complex（NAC） sparing envelope modified radical mastectomy of breast cancer. Methods From March 1998 to September 2005, IBR using silicon prosthetic implants were performed in 26 patients with early mammary gland cancer who had undergone NAC sparing envelope modified radical mastectomy. Silicon-gel breast implants made in China were inserted under the pectoralis major. All cases were given radio-chemotherapy and endocrinotherapy after operation. Results All 26 cases succeeded,5 of whom showed partial NAC necrosis and cured by dressing change, 1 developed subcutaneous hydrops which disappeared after unobstructed closed drainage. During follow-up for 1-90 months, there was no case of recurrences or metastasis. 69.2% of the cases were good,19.2% were fair and 11.5% were poor in the cosmetological effect of reconstructed breast. Conclusions IBR after envelope modified radical mastectomy with preservation of the NAC for breast cancer is a simple operating procedure, with slight trauma, short recovery time,satisfactory cosmetological effect and is also a safe and effective operation suitable for early breast cancer patients.
出处
《中国肿瘤临床与康复》
2008年第1期93-96,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
乳头乳晕复合体
乳腺肿瘤
改良根治术
乳房再造
硅凝胶乳房假体
Nipple areola complex
Breast neoplasms
Modified radical mastectomy
Breast reconstruction
Silicon-gel breast implant
