摘要
目的探讨如何选择乳腺癌手术后乳房重建的手术方法及效果分析。方法根据患者乳腺癌手术的具体方法及个体差异,选择转移下腹部横行腹直肌肌皮瓣、背阔肌肌皮瓣、腹壁下动脉穿支游离皮瓣或联合假体乳房重建158例。结果转移下腹部横行腹直肌肌皮瓣乳房重建93例,其中即刻乳房重建65例(满意率为95.38%),延期乳房重建28例(满意率为92.86%)。背阔肌肌皮瓣或联合假体乳房重建59例,满意率为96.61%。腹壁下动脉穿支游离皮瓣乳房重建3例,满意率为100%。假体植入乳房重建3例,满意率为100%。结论乳腺癌手术后选择适当乳房重建的手术方法十分重要;根据个体差异选择不同乳房重建术式,使重建的乳房更加逼真,达到令人满意的效果。
Objective To study the methods of breast reconstruction after mastectomy for breast cancer patients. Methods 158 cases underwent breast reconstruction, either with TRAM flap or with latissimus dorsi flap with/without implants, according to breast size, shape, local treatment of breast cancer and desire of the patient. Results All patients were followed up from 1 to 74 months. In the TRAM flap group, the satisfaction rate was 95.38% for immediate breast reconstruction (65 cases) and 92. 86% for delayed breast reconstruction (28 cases). In the latissimus dorsi flap with/without implant group (59 cases), the satisfaction rate is 96.61%. Conclusions It is important to choose an appropriate method for breast reconstruction, which could make the reconstructed breast symmetry to normal breast and improve the quality of life.
出处
《中华乳腺病杂志(电子版)》
CAS
2007年第5期155-158,共4页
Chinese Journal of Breast Disease(Electronic Edition)
关键词
乳腺癌
乳房切除
乳房重建
肌皮瓣
Breast neoplasms
Mastectomy
Reconstruction
Tissue flap