中国实用外科杂志

中国实用外科杂志

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应用钛化物聚乙烯网完全覆盖假体皮下植入行乳房重建15例分析

关    山，王    宇，张开通，李新宇，伍冀湘   

  1. 首都医科大学附属北京同仁医院肿瘤中心，北京 100176
  • 出版日期:2017-08-01 发布日期:2017-07-25

  • Online:2017-08-01 Published:2017-07-25

摘要：

目的    探讨钛化物聚乙烯网（TCPM）完全覆盖假体皮下植入在乳腺癌即刻乳房重建手术中的应用价值。 方法    回顾性分析2016年8月至2017年2月首都医科大学附属北京同仁医院肿瘤中心收治的15例因原发性乳腺癌行保留乳头乳晕乳腺切除-TCPM完全覆盖假体皮下植入即刻乳房重建病人资料。分析病人的手术及术后并发症资料。结果    手术时间（156.7±33.7）min，胸壁引流量（307.3±51.0）mL，引流时间（8.9±1.2）d。15例病人平均随访5.6（3~8）个月均未发生乳头乳晕坏死、皮瓣坏死、血清肿、伤口裂开、感染和异物反应。重建乳房外观评价：优10例，良5例。结论    TCPM完全覆盖假体皮下植入即刻乳房重建可简化手术过程，完全避免胸肌损伤，缩短手术时间，不增加相关的术后并发症，具有较好乳房重建效果。

关键词: 乳腺肿瘤, 钛化物聚乙烯网, 假体植入乳房重建

Abstract:

Subcutaneous implant placement by means of a full titanium-coated polypropylene mesh coverage for immediate breast reconstruction in surgery of breast cancer：An analysis of 15 cases        GUAN Shan, WANG Yu, ZHANG Kai-tong, et al. Oncology Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100176, China
Corresponding author: WANG Yu, E-mail: jackymoli613@163.com
Abstract    Objective    To explore the application value of subcutaneous implant placement by means of a full titanium-coated polypropylene mesh (TCPM) coverage in immediate breast reconstruction after nipple-sparing mastectomy. Methods    Totally 15 cases of primary breast cancer patients who prepared to receive subcutaneous implant placement by means of a full TCPM coverage in immediate breast reconstruction after nipple-sparing mastectomy enrolled in Oncology Center, Beijing Tongren Hospital, Capital Medical University from August 2016 to February 2017 were analyzed retrospectively. The operation data and the postoperative complications were evaluated. Results   Operation time was (156.7±33.7) minutes; the volume and time of drainage were (307.3±51.0) mL and (8.9±1.2) days. All the cases received follow-up. No nipple and skin flap necrosis, seroma, wound dehiscence, infection and graft reaction were observed during a median follow-up time of 5.6(3~8) months. Postoperative appearance: excellent in 10 cases and good in 5 cases. Conclusion    Immediate reconstructions with TCPM total implant coverage can be performed without destroying any muscular dissection. The surgical procedure is simplified; the operative time is reduced; no relevant complication increases. TCPM can achieve good cosmetic outcome of reconstructed breasts.

Key words: breast neoplasm; , titanium-coated polypropylene mesh； implant-based breast reconstruction