20例乳腺癌腔镜辅助下保留乳头改良根治术＋Ⅰ期假体植入乳房重建术围术期护理

Perioperative nursing of 20 cases with endoscope-assisted modified radical opera-tion for preserving nipple-areola and I-stage breast prosthesis reconstruction

目的：探讨乳腺癌腔镜保乳改良根治术＋Ⅰ期假体植入乳房重建术的围术期护理要点。方法回顾性分析20例手术患者护理病历资料，分析护理计划及护理方法，总结护理经验。结果20例患者重建乳房外形、患肢功能良好，无并发症发生，术后随访5～29个月，中位平均随访时间为15个月，所有病例无局部复发和转移，美体效果满意。结论乳腺癌腔镜保乳改良根治术Ⅰ期假体植入乳房重建术创伤小、恢复快、美容效果好，做好围术期护理能减少术后并发症的发生，更好地促进患者的恢复，提高患者的生存质量。

Objective To explore perioperative major nursing in the treatment of patients with endoscope -assisted modified radi-cal operation for preserving nipple -areola andⅠ-stage breast prosthesis reconstruction.Methods A total of 20 cases of medical records were reviewed and nursing plan and methods were analyzed , nursing experiences were summarized.Results The 20 patients＆#39;reconstructed breasts were symmetrical with beautiful contour , the cases made a excellent functional recovery of the ipsilateral upper extremity.The pa-tients were followed up from five months to 29 months with an average of 15 months.There was no operative complication in these cases such as recurrence and metastasis.Conclusions The endoscope-assisted modified radical operation for preserving nipple -areola and I-stage breast prosthesis reconstruction has the advantages including less surgery trauma , rapid recovery and good cosmetic results.Given strength-ened perioperative nursing can decrease the occurrence of postoperative complications , improve the patient＆#39;s life quality and recovering.