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目的:探讨乳腺癌改良根治术同时行上蒂横行腹直肌带蒂肌皮瓣(TRAM)Ⅰ期乳房再造的可行性。方法:行乳腺癌改良根治术Ⅰ期乳房再造7例,其中1例同时行乳头乳晕再造、1例行Ⅱ期乳头乳晕再造。结果:6例患者转移皮瓣全部成活,1例部分皮肤血运欠佳,经二次处理后痊愈。再造乳房术后外观评价:良6例,差1例。结论:此术式既达到了乳腺癌根治的目的又得到了乳房重建的效果,是治疗Ⅰ、Ⅱ期乳腺癌值得推荐的好方法。
Objective: To investigate the feasibility of modified radical mastectomy for breast cancer with simultaneous reconstruction of stage Ⅰ breast reconstruction with traumatic rectus abdominis muscle pedicle flap (TRAM). Methods: Seven cases underwent modified radical mastectomy for breast reconstruction in stage Ⅰ breast reconstruction, including 1 case with nipple-areola reconstruction and 1 case with stage Ⅱ nipple-areola reconstruction. Results: All the 6 cases of metastatic flaps survived, and 1 part of the skin showed poor blood circulation and recovered after secondary treatment. Rebuilt breast appearance after surgery: good in 6 cases, poor in 1 case. Conclusion: This technique not only achieves the goal of radical mastectomy but also obtains the effect of breast reconstruction. It is a good way to treat stage Ⅰ and Ⅱ breast cancer.