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目的探讨Ⅰ期假体植入乳房再造在保留乳头乳腺癌改良根治术中应用的可行性。方法2005年2月至2009年4月对22例早期乳腺癌患者实施保留乳头的乳腺癌改良根治加Ⅰ期假体植入乳房再造术。按自愿原则采用假体植入Ⅰ期乳房再造,术后治疗按常规进行。结果再造手术均取得成功,经过6～56个月随访,全部病例均未发现复发和转移,再造乳房形态自然,美容效果好,术后外观评价优良率90.9%,差者9.1%。其中2例乳头乳晕部分皮肤发生缺血坏死,通过换药愈合;2例术后出现轻度假体移位。结论保留乳头乳腺癌改良根治术后Ⅰ期假体植入乳房再造美容效果满意,手术操作简单易行,是早期乳腺癌患者的一种安全有效的手术方式。
Objective To investigate the feasibility of implanted breast reconstruction with stage Ⅰ implants in preserving the modified radical mastectomy of breast cancer. Methods From February 2005 to April 2009, 22 patients with early breast cancer underwent modified radical mastectomy plus stage I implants for breast reconstruction. According to the principle of voluntary use of prosthesis implantation Ⅰ breast reconstruction, postoperative treatment according to conventional. Results Regenerative surgery was successful. After 6 to 56 months of follow-up, no recurrence and metastasis were found in all cases. The shape of breast reconstruction was natural and the cosmetic effect was good. The postoperative appearance evaluation rate was 90.9% and the difference was 9.1%. Two cases of nipple areola occurred partial necrosis of the skin, healing by dressing; 2 cases of postoperative mild prosthesis shift. CONCLUSION: The preservation of nipple breast cancer after modified radical mastectomy stage I implants breast reconstruction cosmetic satisfactory results, simple and easy operation, early breast cancer patients is a safe and effective surgical approach.