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目的研究保留乳头乳晕复合体乳腺癌改良根治术后背阔肌肌皮瓣乳房再造安全性与美观性。方法 2005年1月-2011年4月30例早期乳腺癌,在保留乳头、乳晕改良根治术的同时进行背阔肌肌皮瓣乳房再造。结果 30例手术均成功,术后1例出现乳头部分坏死,术后1例出现再造乳房僵硬,术后腋窝形态美观,腋窝无1例积液,5d拔出引流管,20例患者术后半年左右乳头恢复感觉。术后患者均随访1-5年,术后无1例出现局部复发,1例4年后出现肺部转移。重建的乳房形态完美,增加了美感,减轻了患者的精神负担。结论保留乳头乳晕复合体乳腺癌改良根治术后背阔肌肌皮瓣乳房再造,不但有改良根治术相同的安全性,而且有更好的美观性,可望作为早期乳腺癌手术治疗的常规选择术式。
Objective To study the safety and aesthetics of mammary reconstruction of latissimus dorsi myocutaneous flap after modified radical mastectomy for preserving the nipple areola complex. Methods From January 2005 to April 2011, 30 cases of early breast cancer were treated with modified latissimus dorsi myocutaneous flap while preserving the modified operation of nipple and areola. Results All the 30 surgeries were successful. One case had postoperative necrosis of the nipple. One case had postoperative reconstruction of breast stiffness. The armpit appearance was good after operation. No effusion was found in the armpit and drainage tube was withdrawn after 5 days. Six months after operation About nipple recovery feeling. All cases were followed up for 1-5 years. No recurrence occurred in one case and pulmonary metastasis occurred in one case after 4 years. Reconstruction of the breast perfect shape, an increase of beauty, reduce the patient’s mental burden. Conclusions The preservation of nipple isolar complex breast cancer after modified radical mastectomy myocutaneous flap breast reconstruction not only has the same safety as modified radical mastectomy but also has better aesthetics and is expected to be the routine choice for surgical treatment of early breast cancer Surgery.