摘要
目的探讨保乳术后继发乳房畸形的原因及预防方法，以及根据乳房畸形的不同程度采用不同方法进行修复重建的治疗效果。方法选择行乳腺癌保乳术后1年以上，化疗及放疗结束半年以上，无局部复发及远位转移，患侧乳房出现继发畸形，要求修复重建患者30例，对患侧乳房进行瘢痕切除、挛缩松解，并根据组织缺损的不同程度，选择不同的方法进行修复重建，7例应用局部乳腺瓣法，21例应用背阔肌肌皮瓣法，2例采用横行腹直肌肌皮瓣法。结果术后乳房形态及手感良好，优23例（76．7％），良7例（23．3％）。术后所有患者平均随访约2．5年，目前均处于无瘤生存状态。结论保乳术后继发乳房畸形，可根据畸形不同程度，选择不同方法进行修复重建，修复重建后乳房形态良好。
Objective To explore the causes of secondary breast deformity after breast conser- vative therapy and its preventive methods. Methods 30 cases were selected from the patients with secondary breast deformity of more than 1 year after breast conservative therapy, and more than half a year after radiotherapy and chemotherapy, and no local recurrence and distant metastasis occurred. After cicatrectomy and contracture loose solution, different methods were used according to varying degrees of the secondary breast deformity to reconstruct and repair the deformity. Results Three re- constructive methods were conducted. I.oeal mammary flaps were used in 7 patients, latissimus dorsi myocutaneous flap in 21 patients, and transverse rectus abdominal museulocutaneous flaps in 2 pa- tients. The shape and feeling were satisfactory in 30 patients with reconstructive breasts, in which 23 were excellent （76.7%）, and 7 were good （23.3 %）. All the patients were followed-up for average 2.5 years, and they were survived without tumor recurrence. Conclusions The secondary breast de- formity after breast conservative therapy could be effectively prevented, and successfully reconstructed and repaired with different procedure according to varying degrees of the secondary breast deformity. As a result, the shape and feeling of reconstructive breasts are satisfactory.
出处
《中华医学美学美容杂志》
2012年第5期347-349,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
乳房继发畸形
保乳术
重建
Breast secondary deformity
Breast conserving therapy
Reconstruction
