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目的:探讨带蒂腹直肌皮瓣转移乳房重建术在乳腺癌临床治疗中的应用效果。方法:选取阳江市人民医院2010年至2015年收治的20例乳腺癌患者作为研究对象,本组患者均接受带蒂腹直肌皮瓣转移乳房重建术治疗,术后对患者进行为期1年的随访,观察患者手术并发症发生情况、术后局部复发情况,评价患者术后乳房的美容效果及术前、术后的日常生活能力。结果:本组患者中,术后2例患者出现部分皮瓣坏死,给予对症处理后均愈合,手术并发症发生率为10.0%。随访期间,1例患者局部复发。术后乳房美容效果优良率为95.0%,日常生活能力(ADL)评分为(61.60±5.44)分,明显高于术前的(39.79±3.85)分,差异具有统计学意义(P<0.05)。结论:改良根治术联合带蒂腹直肌皮瓣转移乳房重建术治疗乳腺癌,既能获得确切疗效,又能达到理想的乳房美容效果。
Objective: To investigate the effect of pedicled rectus abdominis flap transfer breast reconstruction in the clinical treatment of breast cancer. Methods: Twenty cases of breast cancer admitted from 2010 to 2015 in Yangjiang People’s Hospital were selected as the study subjects. All patients underwent pediatric rectal flap reconstruction with pedicled rectus abdominis flap. One year after operation Follow-up, observation of patients with surgical complications, postoperative local recurrence, evaluation of postoperative breast cosmetic effect and preoperative and postoperative daily living ability. Results: In this group of patients, some of the two patients had postoperative necrosis of the skin flaps, and healed after symptomatic treatment. The incidence of complications was 10.0%. During follow-up, one patient had a local recurrence. The excellent and good rate of postoperative breast cosmetic results was 95.0%, ADL score was (61.60 ± 5.44), which was significantly higher than that of preoperative (39.79 ± 3.85), the difference was statistically significant (P <0.05). Conclusion: Modified radical mastectomy combined with pedicled rectus abdominis flap transfer of breast reconstruction in the treatment of breast cancer, both to obtain the exact effect, but also to achieve the desired breast cosmetic results.