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目的:探讨分析即时扩展型背阔肌肌皮瓣乳房再造在保留乳头乳晕复合体乳癌术后的运用。方法:回顾性分析我院2008年2月-2012年4月收治的乳腺癌术后患者106例,采用乳癌术即时扩展型背阔肌肌皮瓣乳房再造保留乳头乳晕复合体,观察手术效果以及满意度。结果:术后患者乳房美容优良率为88.68%明显大于对照组的47.17%,并且术后6个月治疗组生活质量评价总分明显大于对照组总分术后6个月患者生活质量评价总分明显大于术前评价总分,差异具有条件下意义(P<0.05),差异均具有统计学意义(P<0.05)。结论:即时扩展型背阔肌肌皮瓣乳房再造在保留乳头乳晕复合体乳癌术后患者乳房美容效果较好,提高患者生活质量高,值得在临床上推广,但在手术后需积极处理可能存在的并发症情况。
Objective: To investigate the use of immediate extended latissimus dorsi myocutaneous breast reconstruction in the preservation of nipple areola complex breast cancer. Methods: A retrospective analysis of our hospital in February 2008 - April 2012 treated patients with breast cancer in 106 cases, the use of breast cancer surgery immediately extended latissimus dorsi myocutaneous reconstruction of breast nipple areola complex preservation, and observe the effect of surgery and Satisfaction. Results: The postoperative excellent cosmetic rate of breast was 88.68%, which was significantly higher than that of the control group (47.17%). The total score of quality of life in the treatment group after 6 months was significantly greater than that of the control group Significantly greater than the preoperative evaluation score, the difference has the significance (P <0.05), the difference was statistically significant (P <0.05). CONCLUSION: Immediately extended latissimus dorsi myocutaneous flap breast reconstruction in patients with nipple areola complex breast cancer patients with better cosmetic results to improve the quality of life of patients, it is worth in the clinical promotion, but after surgery should be actively dealing with the possible existence The complications.