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目的总结在乳腺癌保乳术中,保证术后良好的美学效果应注意的问题和手术技巧。方法对50例乳腺癌保乳术患者,术后以“乳头外观、双乳头水平差距、双乳头距同侧腋前线垂直距离之差距、瘢痕对乳房外形影响”四项易量化标准评估保留乳房的外观美学效果。结果术后评估乳房外形优良者46例(92%),乳房外形较差者4例(8%)。结论术前手术切口的设计、术中的操作技巧、术后切口包扎注意避免压迫乳头等,是保证乳房外形美学效果的关键。
Objective To summarize the problems and surgical techniques that should be paid attention to in the breast conserving surgery to ensure a good postoperative aesthetic effect. Methods Fifty patients undergoing breast-conserving surgery were assessed with four criteria of quantification: “the appearance of the nipple, the difference of the level of the double nipple, the difference of the vertical distance between the two nipples and the axillary line of the same side, and the influence of the scar on the shape of the breast” Breast appearance aesthetic effect. Results Postoperatively, 46 patients (92%) had excellent breast shape and 4 (8%) had poor breast shape. Conclusion The preoperative surgical incision design, intraoperative operative skills, postoperative incision to avoid pressure nipple compression, etc., is to ensure the aesthetic appearance of the key breasts.