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目的 :研究一种既达到肿瘤根治性切除目的 ,又保留乳房美观外形的简便省时、完全可靠的手术方法。方法 :选临床Ⅰ、Ⅱ期乳腺癌患者 ,经腋后线切口行肿瘤根治切除术 ,切除肿瘤表面皮肤 ,保留乳头乳晕 ,取部分背阔肌脂肪瓣行Ⅰ期乳房再造。结果 :4 6例接受乳房再造患者成功 4 5例 ,再造乳房美观效果为优者 34例 (75.6 % ) ,良 7例 (15.5% ) ,差 4例 (8.9% ) ;随访满 1,2 ,3年者分别为 9,11和 16例。除 1例腋淋巴结转移 17枚患者术后 38个月出现骨转移及锁骨下复发外 ,其余均无瘤生存。结论 :使用背阔肌瓣重建乳房 ,组织量适中 ,损伤小 ,外形美观 ,适合应用于中国女性。
Objective: To study a simple, time-saving, and completely reliable surgical method that achieves the goal of radical resection of the tumor while preserving the aesthetic appearance of the breast. METHODS: Patients with stage I and II breast cancer were selected and the radical incision was performed on the posterior tibial incision. The tumor surface skin was removed and the nipple is preserved. A part of the latissimus dorsi fat flap was used for stage I breast reconstruction. RESULTS: Forty-six of the 46 patients undergoing breast reconstruction were successful, and the aesthetic effect of breast reconstruction was 34 (75.6%), 7 (15.5%) good, and 4 (8.9%) poor; follow-up was 1, 2, Three years were 9, 11 and 16 cases respectively. Except for 17 patients with axillary lymph node metastases, bone metastasis and subclavian recurrence occurred 38 months after surgery, and the rest were tumor free. Conclusion :Using the latissimus dorsi flap to reconstruct the breast with moderate amount of tissue, little damage and beautiful appearance, it is suitable for Chinese women.