保留乳头乳晕复合体的乳房切除术并即刻假体植入乳房重建26例

Immediate breast construction using prosthesi after nipple-areola-sparing mastectomy in 26 cases

目的 探讨保留乳头乳晕复合体（NAC）的乳房切除术并即刻假体植入乳房重建的疗效。方法 对26例乳腺癌患者实施保留NAC的乳房切除术并即刻假体植入乳房重建术，观察术后美容效果、并发症情况并进行随访。结果 26例患者均手术成功。术后1个月按放射治疗联合中心（JCRT）标准评价美容效果，优良率88.5 %（23／26），无严重并发症发生。术后随访3～48个月（中位随访时间26个月），所有病例均无局部复发及远处转移。结论 保留NAC的乳房切除术并即刻假体植入乳房重建术能够保证肿瘤根治原则，手术操作简单，具有良好的形体美容效果，疗效满意，值得进一步临床实践。

Objective To investigate the effect of immediate breast construction using prosthesi after nipple-areola-sparing mastectomy. Methods The immediate breast construction using prosthesi after nipple-areola-sparing mastectomy was performed in 26 cases with breast cancer from January 2008 to December 2011 in Jiangsu Cancer Hospital. The postoperative cosmetic results and the complications were observed. The therapeutic effects were followed up. Results All operations were successful. The superior rate of cosmetic result after one month according to JCRT was 88.5 % （23/26）. No severe complication was found. After a median follow-up of 26 months （range 3-48 months）, there was no recurrence and metastasis. Conclusion The immediate breast construction using prosthesi after nipple-areola-sparing mastectomy is maneuverable with satisfactory aesthetic result and the clinical effect, which deserves the further clinical application.