中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (10): 944-946.

• 论著 • 上一篇    下一篇

保留乳头乳晕乳腺全切除术后Ⅰ期假体植入10例报告

张亚男1a,钱宏美2,尤承忠1a,瞿    欢1a,吕建鑫1a,胡浩霖1a,石    欣1a,嵇振岭1a,熊    猛1b,刘万花1c   

  1. 1 东南大学附属中大医院  a.普外科  b.整形科c.放射科,江苏南京210009;2 马鞍山市人民医院普外科  安徽马鞍市
  • 出版日期:2011-10-01 发布日期:2011-09-30

  • Online:2011-10-01 Published:2011-09-30

摘要:

目的    探讨保留乳头乳晕的乳腺全切除术后I期乳房重建的适应证、方法、效果及可行性。方法    东南大学附属中大医院2009年1月到2010年10月 对10例病人行保留乳头乳晕的乳腺全切术及Ⅰ期假体植入的乳房重建术,术后从客观和主观两个角度评价美容效果,观察其并发症及随访治疗效果。结果    所有病人手术成功。术后早期,2例出现轻微并发症,予以对症治疗后痊愈。术后随访6~18个月,主、客观评价的优良率均为100%。其中7例乳腺癌病人局部无复发,远处无转移。结论    保留乳头乳晕的乳腺全切术后Ⅰ期乳房重建术的手术操作简单易行,美容效果好,无严重并发症,且不影响乳腺疾病的治疗。

关键词: 保留乳头乳晕乳腺全切除, I期乳房重建

Abstract:

Immediate breast reconstruction using prosthesis after nipple-sparing mastectomy for breast diseases:a report of 10 cases        ZHANG Ya-nan*, QIAN Hong-mei, YOU Cheng-zhong, et al. *Department of General Surgery, Zhongda Hospital, Southeast University, Nanjing 210009, China
Corresponding author: ZHANG Ya-nan, E-mail: zhangyanan79@126.com
Abstract    Objective    To investigate the indications, surgical methods, effects and feasibility of immediate breast reconstruction after nipple-sparing mastectomy. Methods    The immediate breast reconstruction after nipple-sparing mastectomy was performed in 10 cases of breast disease from January 2009 to October 2010 in Zhongda Hospital of Southeast University. The effects of reconstructed breast were evaluated according to objective and subjective criteria. Postoperative complications were observed and therapeutic effects were followed up. Results    All operations were successful. Two cases had slight complications in early postoperative stage and were cured quickly. The aesthetic outcome and the satisfactory rate were all 100% during 6—18 months follow-up. No recurrence and metastasis were founded in 7 cases. Conclusion    The operation method of immediate breast reconstruction after nipple-sparing mastectomy is maneuverable and has excellent effect of aesthetics with no influence of the therapy of breast diseases.

Key words: nipple-sparing mastectomy, immediate breast reconstruction