CAJ | 학술논문

目的探讨保留乳头乳晕的乳腺癌改良根治术后即刻扩大背阔肌肌皮瓣乳房再造的方法及效果.方法对2008年1月至2014年7月收治的61例乳腺癌患者行保留乳头乳晕的乳腺癌改良根治术,并即刻采用扩大背阔肌肌皮瓣行乳房再造.结果 61例乳房再造手术均取得成功,未发生皮瓣坏死及严重并发症.随访时间12～78个月,未出现局部复发,远处转移4例,死亡1例,乳房形态外观评定“优良”率达到93.4％.结论保留乳头乳晕的乳腺癌改良根治术后即刻扩大背阔肌肌皮瓣乳房再造安全可靠,易于掌握,严重并发症少.再造乳房形态自然美观,提高了患者生存质量,不影响术后辅助治疗,国内大部分患者无需借助假体完成,值得推广.
목적 탐토보류유두유훈적유선암개량근치술후즉각확대배활기기피판유방재조적방법급효과.방법 대2008년1월지2014년7월수치적61례유선암환자행보류유두유훈적유선암개량근치술,병즉각채용확대배활기기피판행유방재조.결과 61례유방재조수술균취득성공,미발생피판배사급엄중병발증.수방시간12～78개월,미출현국부복발,원처전이4례,사망1례,유방형태외관평정“우량”솔체도93.4％.결론 보류유두유훈적유선암개량근치술후즉각확대배활기기피판유방재조안전가고,역우장악,엄중병발증소.재조유방형태자연미관,제고료환자생존질량,불영향술후보조치료,국내대부분환자무수차조가체완성,치득추엄.
Objective To investigate the surgical method and therapeutic effects of immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipple-sparing mastectomy.Methods From January 2008 to July 2014,61 patients with breast cancer were given immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipple-sparing mastectomy.Results All of the 61 patients obtained successful breast reconstruction without flap necrosis and serious complications.Followed-up from 12 to 78 months,all patients were no local recurrence,but distant metastasis was occurred in 4 cases and death in 1 case.The morphology of reconstructed breast was excellent in 93.4 ％ (57/61) cases.Conclusion Immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipplesparing mastectomy is safe,easy to master and has few serious complications.The reconstructed breast has a natural and beautiful appearance and improves the quality of life.It does not affect postoperative adjuvant therapy.Most Chinese patients can obtain breast reconstruction without implant.This method is worth to spread.