CAJ | 학술논문

目的探讨术后即刻胸大肌包裹硅胶假体行乳房再造在早期乳腺癌保留乳头乳晕的改良根治术中应用的可行性.方法自2006年1月至2009年11月,扬州市第一人民医院对28例早期乳腺癌行保留乳头乳晕改良根治术后即刻采用胸大肌包裹硅胶假体的乳房再造,观察术后并发症及患者满意度.结果术后随访13～58个月,出现假体渗漏1例,乳头感觉减退2例,包膜挛缩1例,骨转移1例,28例均存活.27例对术后乳房外形满意,满意率96.43％.结论保留乳头乳晕的乳腺癌改良根治术后即刻硅胶乳房假体再造,在保证肿瘤治疗的前提下,同时满足了患者对保持乳房外形美观的要求.手术简便、创伤小、恢复快,在术后并发症、局部复发率及死亡率等方面与单纯乳腺癌手术相比并无差异.
목적 탐토술후즉각흉대기포과규효가체행유방재조재조기유선암보류유두유훈적개량근치술중응용적가행성.방법 자2006년1월지2009년11월,양주시제일인민의원대28례조기유선암행보류유두유훈개량근치술후즉각채용흉대기포과규효가체적유방재조,관찰술후병발증급환자만의도.결과 술후수방13～58개월,출현가체삼루1례,유두감각감퇴2례,포막련축1례,골전이1례,28례균존활.27례대술후유방외형만의,만의솔96.43％.결론 보류유두유훈적유선암개량근치술후즉각규효유방가체재조,재보증종류치료적전제하,동시만족료환자대보지유방외형미관적요구.수술간편、창상소、회복쾌,재술후병발증、국부복발솔급사망솔등방면여단순유선암수술상비병무차이.
Objective To investigate the feasibility of immediate breast reconstruction by implanting silicone prosthesis wrapped by ectopectoralis after nipple-sparing mastectomy in early stage breast cancer.Methods From Jan.2006 to Nov.2009,28 breast cancer patients underwent immediate breast reconstruction by implanting silicone prosthesis wrapped by ectopectoralis after nipple-sparing mastectomy.Results Among the 28 patients,27 were satisfied with the apperance of their breast after operation.Conclusions Immediate breast reconstruction by implanting silicone prosthesis wrapped by ectopectoralis after nipple-sparing mastectomy not only ensures the curative effects but also beautifies the apperance of the breast.The operation has the advantages of simplity,less trauma and quick recovery.There is no difference compared with mastectomy in terms of complication,recurrence rate and mortality etc.