乳腺癌保乳术中利用邻近皮瓣转移即刻修复乳房缺损的临床效果分析

Clinical analysis on Breast augmentation using transfering adjacent flap in breast cancer

目的评价乳腺癌保乳术中使用邻近腹壁脂肪瓣修复乳房广泛切除后缺损的疗效。方法对16例乳腺癌患者施行乳腺癌保乳术,术中切口设计、手术步骤、美学评价、皮瓣选择、皮肤缝合等综合修补乳房缺损。结果使用邻近皮瓣修复乳房广泛切除后的缺损,保证更充分地切除癌旁组织,同时还可以获得良好的乳房外形。美学评价:14例优秀,2例良好,无外形差的病例,乳房外观优良率88.9%。术后患者满意度调查显示,16例患者均对自己的乳房形态感到满意,患者主观评价满意度为100.0%。结论下皱襞切口即可达到隐蔽效果,又可不增加新手术切口使暴露显著,隐蔽效果更佳。乳腺癌保乳术利用邻近腹壁脂肪瓣修复乳房广泛切除后的缺损,保证更充分地切除癌旁组织,同时使一部分失去保乳手术机会的妇女接受保乳手术治疗,重建一个完美的乳房,从而弥补保乳手术所带来的美容缺陷。

Objective To evaluate the effect of breast augmentation using transfering adjacent flap in breast caneer. Methods 16 patients with breast cancer were treated with breast augmentation using transfering adjacent flap. Results 14 cases and 2 cases of aesthetic evaluation were excellent and good. There were no cases with poor aesthetic evaluation. The breast appearance was 88.9%. The subjective evaluation satisfaction was 100.0%. Conclusion The fold incision can achieve a covert effect, and no new surgical incision made significant exposure concealed. The breast cancer with breast augmentation using adjacent abdominal wall fat disc to repair the defect in the breast after wide excision can remove the cancer more fully the organization, and make part of the lost opportunity of breast surgery women to receive the treatment of breast surgery, the reconstruction of a perfect breasts, and then made up the breast surgery brought about by the cosmetic defects.