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保留皮肤的乳腺癌改良根治术后即刻假体植入再造乳房的探讨 被引量:27

Skin-sparing incision mastectomy and immediate implanting breast reconstruction
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摘要 目的用安全、简便的方法解决乳腺癌根治术后乳房缺损问题.方法 2002年4月至2004年9月,在行保留皮肤的乳腺癌改良根治术后同期于胸大肌后植入Meter或Beck假体,即时再造乳房.根治术时根据冰冻结果决定是否保留乳头乳晕复合体.结果 32例病人中,23例行Meter单囊假体植入,9例行Beck双囊可扩张假体植入,5例保留乳头乳晕复合体,均获得满意效果.32例病人中经病理证实15例为浸润性导管癌,11例为浸润性小叶癌,4例为浸润性导管癌同时合并浸润性小叶癌,1例为乳管内乳头状瘤病伴部分癌变,1例为浸润性小叶癌保乳术后复发.结论保留皮肤的乳腺癌改良根治术后运用假体植入法行Ⅰ期乳房再造,创伤小、安全、快速,恢复期短,手术操作简单易行,即时效果满意. Objective To use a safe and simple method to solve the loss of the breast after mastectomy.Methods Meter or Beck implants were placed into submuscle and skin-sparing incision mastectomies were performed at the same time to reconstruct the breast.Whether or not the Nipple-areola complexes were preserved depended on the results of freeze pathological examinations.Results In 32 cases,23 cases were implanted Meter single implants and 9 cases were implanted Beck implants.Five cases were preserved the Nipple-areola complexes.All of them got satisfactory results.There were 15 cases of infiltrating ductal carcinoma,11 cases of infiltrating lobular carcinoma,4 cases of infiltrating ductal carcinoma combined with infiltrating lobular carcinoma,1 case of intraductal papilloma combined with partly malignant and 1 case of recurrent infiltrating lobular carcinoma.Conclusion Skin-sparing mastectomy with immediate breast reconstruction is a safe and rapid technique with the advantage of less trauma,shorter recovery time,simpler procedure and satisfactory immediate result.
作者 蒋宏传 李发成 李杰 Jiang Hongchuan,Li Facheng,Li jie.Department of Breast Surgery,Chaoyang Hospital,Capital University of Medical Sciences,Beijing 100020,China
出处 《中国实用外科杂志》 CSCD 北大核心 2005年第2期84-85,共2页 Chinese Journal of Practical Surgery
关键词 假体植入 乳腺癌改良根治术 术后 保留 皮肤 乳房 乳晕 结论 合并 方法 Skin-sparing mastectomy Breast reconstruction
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参考文献8

  • 1亓发芝,顾建英.TRAM乳房再造术中的美学分析[J].中华医学美容杂志,2000,6(2):86-88. 被引量:24
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二级参考文献7

  • 1Hartrampf CR.Abdominal wall competence in transverse abdominal island flap operations[].Annals of Plastic Surgery.1984 被引量:1
  • 2Nohira K,Shintomi H,Yamamoto Y.Breast reconstruction with TRAM flap[].Plastic and Reconstructive Surgery.1997 被引量:1
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