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乳房切除术后即时乳房重建和放疗的临床结果 被引量：2

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摘要 乳腺癌患者乳房切除手术后对患者心理和生理有着不利的影响，因此乳房重建手术越来越受到重视。放疗能够降低局部区域复发，但术后放疗对重建乳房美容效果的影响及技术实施上的难点成为近年来引起关注的特殊临床问题^[1]。笔者回顾28例乳腺癌患者乳房切除术加即时乳房重建及放疗后的近期结果，分析即时乳房重建后放疗的可行性。
作者 杨昭志 陈佳艺 郭小毛 狄根红 吴炅 邵志敏
机构地区 复旦大学上海医学院肿瘤学系复旦大学附属肿瘤医院放疗科 复旦大学上海医学院肿瘤学系复旦大学附属肿瘤医院乳腺外科
出处 《中华放射肿瘤学杂志》 CSCD 北大核心 2009年第3期242-243,共2页 Chinese Journal of Radiation Oncology
基金 上海市卫生局课题（054018） 上海市科委课题（44119656）
关键词 乳房重建 术后放疗 临床结果 切除术后 乳腺癌患者 切除手术后 乳房切除术 患者心理
分类号 R686 [医药卫生—骨科学]
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参考文献7

  • 1Motwani SB, Strom EA, Schechter NR, et al. The impact of immediate breast reconstruction on the technical delivery of postmastectomy radiotherapy. Int J Radiat Oncol Biol Phys,2006,66:76-82.
  • 2Radiation Therapy Oncology Group. Acute radiation morbidity scoring criteria. Available [2008-06-06]. http://www.rtog. org/ members/toxicity/acute. html#skin.
  • 3Tzafetta K, Ahmed O, Bahia H, et al. Evaluation of the factors related to postmastectomy breast reconstruction. Plast Reconstr Surg, 2001,107 : 1694-1701.
  • 4U. S. Food and Drug Administration. Breast Implant Baker Grading System. Available [2008-06-06]. http://www.fda. gov/cdrh/ breastimplants/breast_implant_risks_brochure. html.
  • 5Chawla AK, Kachnic LA, Taghian AG, et al. Radiotherapy and breast reconstruction:complications and cosmesis with TRAM versus tissue expander/implant. Int J Radiat Oncol Biol Phys,2002, 54:520-526.
  • 6Vandeweyer E, Deraemaecker R. Radiation therapy after immediate breast reconstruction with implants. Plast Reconstr Surg,2000, 106:56-58.
  • 7Anderson PR, Hanlon AL, Fowble BL, et al. Low complication rates are achievable after postmastectomy breast reconstruction and radiation therapy. Int J Radiat Oneol Biol Phys,2004,59:1080- 1087.

同被引文献21

  • 1董佳生,王涛,张莉,戴传昌,王毅敏,祝联.腹壁下动脉穿支横行下腹部皮瓣游离移植乳房再造[J].上海第二医科大学学报,2004,24(8):609-611. 被引量：6
  • 2张波,余力,王健,朱昌.不对称乳房美容整形治疗的探讨[J].中华医学美学美容杂志,2004,10(5):266-269. 被引量：3
  • 3Cordeiro PG,McCarthy CM.A single surgeon's 12-year experienee with tissue expander/implant breast reconstruction:part Ⅱ.An analysis of long-term complications,aesthetic outcomes,and patient satisfaction[J].Plast Reconstr Surg,2006,118(4):832-839.
  • 4Chang DW,Youssef A,Cha S,et al.Autologous breast reconstruction with the extended latissimus dorsi flap[J].Plast Reconstr Surg,2002,110(3):751-759.
  • 5Ortiz CL,Mendoza MM,Sempere LN,et al.Versatility of the pedicled thoracodorsal artery perforator(TDAP)flap in soft tissue reconstruction[J].Ann Plast Surg,2007,58(3):315-320.
  • 6Nahabedian MY,Momen B,Galdino G,et al.Breast Reconstruction with the free TRAM or DIEP flap:patient selection,choice of flap,and outcome[J].Plast Reconstr Surg,2002,110(2):466-475.
  • 7Guerra AB,Soueid N,Metzinger SE,et al.Simultaneous bilateral breast reconstruction with superior gluteal artery perforator(SGAP)flaps[J].Ann Plast Surg,2004,53(4):305-310.
  • 8Forman DL,Chiu J,Restifo R J,et al.Breast reconstruction in previously irradiated patients using tissue expanders and implants:a potentially unfavorable result[J].Ann Plast Surg,1998,40(4):360-363.
  • 9Wright JL,Cordeiro PG,Ben-Porat L,et al.Mastectomy with immediate expander-implant reconstruction,adjuvant chemotherapy,and radiation for stage Ⅱ-Ⅲ breast cancer:treatment intervals and clinical outcomes[J].Int J Radiat Oncol Biol Phys,2008,70(1):43-50.
  • 10McCarthy CM,Pusic AL,Disa JJ,et al.Unilateral postoperative chest wall radiotherapy in bilateral tissue expander/implant reconstruction patients:a prospective outcomes analysis[J].Plast Reconstr Surg,2005,116(6):1642-1647.

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中华放射肿瘤学杂志
2009年 第3期

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