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探讨乳腺癌改良根治手术同期乳房重建的方法及临床应用.对11例Ⅰ～Ⅱa期乳腺癌患者在改良根治术同期采用腹直肌肌皮瓣(纵梭形或横梭形)重建乳房.结果11例病人均获成功.随访05～3a,无肿瘤复发及转移.重建乳房外形满意,无严重并发症发生.结果表明:(1)腹直肌肌皮瓣乳房重建,取材组织量充分,操作方便,成功率高,并发症少;(2)对Ⅰ～Ⅱa期病人,改良根治术同期乳房重建是安全可行的.
To explore the method and clinical application of breast reconstruction with modified radical mastectomy in breast cancer. 11 breast cancer patients with stage I-IIa breast cancer were reconstructed with modified rectus abdominis myocutaneous flaps (in shuttle or transverse spindle). All 11 patients were successful. Follow-up was carried out for 05 to 3 years. No recurrence or metastasis occurred. The reconstruction of the breast was satisfactory and no serious complications occurred. The results showed that: (1) The rectus abdominis myocutaneous flap was used for breast reconstruction and the amount of tissue was adequate. Convenient, high success rate, and fewer complications; (2) For patients with stage I-IIa, modified radical mastectomy is safe and feasible.