中国实用外科杂志

中国实用外科杂志

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利用垂直双蒂真皮桥行保留乳房外形手术治疗乳腺广泛导管内癌45例疗效分析

李建一1，贾    实1，王一通1，张    扬1，宋国庆1，孙    强2，齐    霁1，柳羽诗1，曹亚楠1，侯    璐1，赵    毅1   

  1. 1中国医科大学附属盛京医院乳腺外科，辽宁沈阳 110022；2本溪钢铁集团总医院乳腺外科，辽宁本溪 117000
  • 出版日期:2019-11-01 发布日期:2019-11-12

  • Online:2019-11-01 Published:2019-11-12

摘要：

目的    探讨利用垂直双蒂真皮桥行保留乳房外形手术治疗乳腺广泛导管内癌的临床疗效。 方法 回顾性分析2015年3月至2017年8月中国医科大学附属盛京医院乳腺外科45例利用垂直双蒂真皮桥进行乳房重建的广泛导管内癌病人临床及随访资料。结果    45例病例中，行扩大Mckissock手术35例，联合假体置入手术10例。中位随访时间40（24～48）个月。病人无病存活率均100%。2例联合假体置入手术病人术后出现乳头部分坏死，经过治疗后于术后6个月内恢复。结论    对于乳腺广泛导管内癌的病人，利用垂直双蒂真皮桥来保留乳房外形的全腺体切除手术（联合或不联合假体）具有良好临床疗效。

关键词: 乳腺, 广泛导管内癌, 垂直蒂, 真皮桥, 重建

Abstract:

Clinical analysis in 45 cases of extensive intraductal carcinoma treated by breast shape reserving surgery with vertical double-pedicle bridge        LI Jian-yi*,  JIA Shi,WANG Yi-tong,et al.*Department of Breast Surgery, Shengjing Hospital of China Medical University,Shenyang 110022,China 
Corresponding author: ZHAO Yi,E-mail：sjbreast@yeah.net
Abstract    Objective    To investigate the clinical effect of breast shape reserving surgery with vertical double dermal pedicle bridge in the treatment of extensive intraductal breast cancer. Methods    During March 2015 to August 2017, the clinical and follow-up data of 45 patients with extensive intraductal cancer accepting breast shape reserving surgery with vertical double-pedicle bridge in Shengjing Hospital of China Medical University were analyzed retrospectively. Results    Among the 45 cases, 35 were treated with the modified McKissock mammaplasty technique and 10 combined  prosthesis. The median follow-up time was 40 (24-48) months. The disease-free survival rate was 100%. Two patients with nipple necrosis after combined prosthesis implantation recovered within 6 months after treatment. Conclusion    In the treatment of extensive intraductal breast cancer, the use of vertical double-pedicle dermal bridge for breast shape reserving (with or without prosthesis) has a satisfied efficacy.

Key words: breast, extensive intraductal carcinoma, vertical pedicle, dermal bridge, reconstruction