中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
3期
455-459
,共5页
何益腾%宋牧%陈晶%于冰%朱丽萍
何益騰%宋牧%陳晶%于冰%硃麗萍
하익등%송목%진정%우빙%주려평
生物材料%材料相容性%硅凝胶%假体%乳腺癌%保留乳头乳晕复合体%乳房重建%Ⅰ期手术
生物材料%材料相容性%硅凝膠%假體%乳腺癌%保留乳頭乳暈複閤體%乳房重建%Ⅰ期手術
생물재료%재료상용성%규응효%가체%유선암%보류유두유훈복합체%유방중건%Ⅰ기수술
Subject headings：Silicone Gels%Breast Implantation%Breast Neoplasms
背景：中国女性乳腺体积相对偏小，乳腺癌传统保乳手术后乳腺外形欠佳，而采用背阔肌肌皮瓣和横行腹直肌肌皮瓣乳房再造手术难度高、创伤大、术后并发症多，因此行保留乳头乳晕复合体Ⅰ期硅凝胶假体植入乳房重建手术是非常好的选择。<br> 目的：探讨保留乳头乳晕复合体乳腺癌改良根治术后Ⅰ期硅胶假体植入乳房重建的效果。<br> 方法：纳入女性乳腺癌患者33例，年龄30-48岁，左侧20例，右侧13例，均于保留乳头乳晕复合体乳腺癌改良根治术后行Ⅰ期硅凝胶假体植入乳房重建治疗，术后通过随访行主客观评价美容效果。<br> 结果与结论：33例患者中，术后乳头乳晕复合体坏死2例，自行结痂愈合；1例术中出血量>800 mL，经补液、输血治疗后，恢复良好。随访10-51个月，31例乳房外观良好，双侧乳房对称，优良率达94%，均未发现局部复发及远处转移。证实保留乳头乳晕复合体乳腺癌改良根治术后行硅胶假体Ⅰ期乳房重建，美容效果满意，无严重并发症，手术安全，简单可行。
揹景：中國女性乳腺體積相對偏小，乳腺癌傳統保乳手術後乳腺外形欠佳，而採用揹闊肌肌皮瓣和橫行腹直肌肌皮瓣乳房再造手術難度高、創傷大、術後併髮癥多，因此行保留乳頭乳暈複閤體Ⅰ期硅凝膠假體植入乳房重建手術是非常好的選擇。<br> 目的：探討保留乳頭乳暈複閤體乳腺癌改良根治術後Ⅰ期硅膠假體植入乳房重建的效果。<br> 方法：納入女性乳腺癌患者33例，年齡30-48歲，左側20例，右側13例，均于保留乳頭乳暈複閤體乳腺癌改良根治術後行Ⅰ期硅凝膠假體植入乳房重建治療，術後通過隨訪行主客觀評價美容效果。<br> 結果與結論：33例患者中，術後乳頭乳暈複閤體壞死2例，自行結痂愈閤；1例術中齣血量>800 mL，經補液、輸血治療後，恢複良好。隨訪10-51箇月，31例乳房外觀良好，雙側乳房對稱，優良率達94%，均未髮現跼部複髮及遠處轉移。證實保留乳頭乳暈複閤體乳腺癌改良根治術後行硅膠假體Ⅰ期乳房重建，美容效果滿意，無嚴重併髮癥，手術安全，簡單可行。
배경：중국녀성유선체적상대편소，유선암전통보유수술후유선외형흠가，이채용배활기기피판화횡행복직기기피판유방재조수술난도고、창상대、술후병발증다，인차행보류유두유훈복합체Ⅰ기규응효가체식입유방중건수술시비상호적선택。<br> 목적：탐토보류유두유훈복합체유선암개량근치술후Ⅰ기규효가체식입유방중건적효과。<br> 방법：납입녀성유선암환자33례，년령30-48세，좌측20례，우측13례，균우보류유두유훈복합체유선암개량근치술후행Ⅰ기규응효가체식입유방중건치료，술후통과수방행주객관평개미용효과。<br> 결과여결론：33례환자중，술후유두유훈복합체배사2례，자행결가유합；1례술중출혈량>800 mL，경보액、수혈치료후，회복량호。수방10-51개월，31례유방외관량호，쌍측유방대칭，우량솔체94%，균미발현국부복발급원처전이。증실보류유두유훈복합체유선암개량근치술후행규효가체Ⅰ기유방중건，미용효과만의，무엄중병발증，수술안전，간단가행。
BACKGROUND:As Chinese women have the smaler breast capacity, the traditional breast conserving operation may lead to the poor breast shape, moreover, breast reconstruction with latissimus dorsi myocutaneous flap and transverse rectus abdominis myocutaneous flap is very difficult and has trauma and more complications. Therefore, the immediate breast construction with implants after nipple-areola complex sparing mastectomy is a good choice. <br> OBJECTIVE: To investigate the feasibility of immediate breast construction using silicone prosthesis after nipple-areola complex sparing mastectomy. <br> METHODS:The immediate breast reconstruction after nipple-areola complex sparing mastectomy was performed in 33 female patients with breast cancer (20 cases in the left side and 13 cases in the right side), aged 30-48 years. The effects of reconstructed breast were evaluated according to objective and subjective criteria during the folow-up. <br> RESULTS AND CONCLUSION:Of the 33 cases, 2 cases had nipple-areola complex ischemic necrosis postoperatively and were cured quickly; 1 case had intra-operative blood loss > 800 mL and recovered wel after fluid and blood transfusion. The aesthetic outcome was wel in 31 cases and the satisfactory rate was 94% during 10-51 months of folow-up period. No recurrence and metastasis were found in al cases. The operation method of immediate breast reconstruction with implants after nipple-areola complex sparing mastectomy is maneuverable and has excelent aesthetic effects with no severe complications.
