保留皮肤乳腺癌根治术后即时TRAM乳房再造

Skin sparing Mastectomy and Immediate TRAM Breast Reconstruction

目的 介绍保留皮肤乳腺癌根治术后即时乳房再造方法。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 ,应用下腹直肌肌皮瓣即时乳房再造。结果 应用该方法治疗 9例患者 ,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 ,切口小 ,再造乳房形态效果好 。

Purpose To introduce our experience about the skin sparing mastectomy and immediate breast reconstruction using transverse rectus abdominis myocutaneous flap(TRAM). Methods For early stage breast cancer,we preserved the breast skin,performed the subcutaneous glandular excision and axillary dissection,immediately reconstructed the breast using TRAM flap. Results 9 patients were treated by skin sparing mastectomy and immediate TRAM breast reconstruction.The morphology of reconstructed breasts was excellent. Conclusions The skin sparing mastectomy and immediate TRAM breast reconstruction is safe and effective for treating early stage breast cancer.The incision is relative small and more aesthestic.