摘要
目的探讨一种既达到肿瘤根治性切除,又保留乳房美观外形的乳房再造的手术方法。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,应用下腹部横行腹直肌肌皮瓣或扩大背阔肌肌皮瓣即时乳房再造。结果应用下腹部横行腹直肌肌皮瓣乳房再造10例,扩大背阔肌肌皮瓣再造5例。优11例(73.3%),良4例(26.7%)。结论保留皮肤乳腺癌根治术后即时乳房再造,切口隐蔽,再造乳房形态效果好,对早期乳腺癌患者是一种安全可行的治疗方法。
Objective To achieve a high-quality reconstructed breast, we designed a new operative method of breast reconstruction using transverse rectus abdominis myocutoneous （TRAM） flap or extended-latissimus dorsi myocutoneons （E-LD） flap. Methods For early stage breast cancer, we preserved the breast skin, performed the subcutaneous glandular excision, axillary dissection, and immediate breast reconstruction. Results 15 patients were treated by skin-sparing mastectomy and immediate TRAM flap （10 cases） and E-LD flap （5 cases）. The morphology of reconstructed breasts was excellent in 11 （73.3 % ） patients, good in 4 （26.7 % ） patients. Conclusions Skin-sparing mastectomy and immediate breast reconstruction is a safe and effective method in the breast＇s shape, sentation, symmetry and incision scar for treating early stage breast cancer.
出处
《肿瘤基础与临床》
2006年第3期237-238,共2页
journal of basic and clinical oncology
关键词
乳腺癌
改良根治术
乳房再造
腹直肌肌皮瓣
背阔肌肌皮瓣
breast cancer
modified radical masteetomy
breast reconstruction
TRAM flap
latissimus dorsi flap
