目的　介绍保留皮肤的乳腺癌根治术后即时乳房乳头再造经验。方法　对早期乳腺癌 ,保留乳房皮肤 ,切除乳腺组织和腋窝淋巴结 ,应用下腹部横行腹直肌肌皮瓣即时再造乳房乳头。结果　应用该方法治疗 12例 ,再造乳房形态良好。结论　保留皮肤乳腺癌根治术后即时乳房再造 ,切口隐蔽 ,再造乳房形态效果好 ,对早期乳腺癌患者值得推广应用。 Objective To introduce the experience of immediate breast reconstruction after radical mastectomy for skin preservation. Methods For early stage breast cancer, breast skin was preserved, breast tissue was removed and axillary lymph nodes were removed. Mammary papilla was reconstructed immediately by applying the rectus abdominis myocutaneous flap on the lower abdomen. Results Twelve patients were treated with this method. The reconstructed breasts were in good shape. Conclusion Retaining skin immediately after radical mastectomy for breast reconstruction, incision concealment, and reconstruction of breast morphology are effective, and it is worth promoting and applying to early breast cancer patients.