论文部分内容阅读
目的 :总结保留乳头乳晕复合体乳腺癌根治术后背阔肌皮瓣加假体置入即刻乳房重建的疗效。方法 :对2011年10月—2014年8月在泰州市人民医院采取保留乳头乳晕复合体乳腺癌根治术后背阔肌皮瓣加假体置入即刻乳房重建的12例乳腺癌患者进行随访,观察乳头乳晕血运、皮瓣存活率、引流量和并发症发生率,并对其美容效果进行评估。结果:12例患者均手术成功,术后乳头乳晕血运良好,皮瓣顺利成活,均无严重手术并发症,重建乳房形态完美,增加了美感,减轻了患者的精神负担。结论:保留乳头乳晕复合体乳腺癌根治术后背阔肌皮瓣加假体置入即刻乳房重建的临床效果良好,不但有改良根治术相同的安全性,而且有更好的美观性,值得临床推广应用。
OBJECTIVE: To summarize the curative effect of implanting latissimus dorsi flap and prosthesis into immediate breast reconstruction after radical mastectomy of nipple areola complex. Methods: From October 2011 to August 2014 in Taizhou People’s Hospital, 12 cases of breast cancer patients undergoing breast reconstruction with nipple areola complex retained by the latissimus dorsi flap and prosthesis underwent immediate breast reconstruction were followed up, Observe nipple areola blood supply, flap survival rate, drainage and complication rate, and evaluate its cosmetic effect. Results: All the 12 patients were operated successfully. The postoperative nipple isolar blood flow was good and the flaps survived successfully. No severe complications were found. The reconstructed breast shape was perfect, which increased the aesthetic feeling and relieved the patients’ mental burden. Conclusion: The preservation of nipple areola complex after radical mastectomy of latissimus dorsi flap and prosthesis in immediate breast reconstruction has good clinical effect. It not only has the same safety as modified radical mastectomy, but also has better aesthetics and is worth clinical Promote the application.