CAJ | 학술논문

目的：探讨早期乳腺癌行改良根治术后，取背阔肌部分肌瓣转移联合硅胶假体一期植入即时乳房重建的可行性、治疗效果、安全性和术后美容效果。方法：2013年4月-2013年8月收治早期乳腺癌患者20例，均行乳腺癌改良根治术，带状背阔肌肌瓣转移联合硅胶假体植入胸大、小肌之间行乳房再造。结果：20例患者均接受辅助化疗，随访期间均未发现局部复发或远处转移，再造乳房外形、质地满意。术后美容效果评价优16例(80%)，良3例(15%)，一般1例(5%)。结论：早期乳腺癌术后背阔肌肌瓣联合即刻假体植入乳房重建时间短、操作简便、效果良好，患者满意，是安全可靠值得推广的手术方法。
목적：탐토조기유선암행개량근치술후，취배활기부분기판전이연합규효가체일기식입즉시유방중건적가행성、치료효과、안전성화술후미용효과。방법：2013년4월-2013년8월수치조기유선암환자20례，균행유선암개량근치술，대상배활기기판전이연합규효가체식입흉대、소기지간행유방재조。결과：20례환자균접수보조화료，수방기간균미발현국부복발혹원처전이，재조유방외형、질지만의。술후미용효과평개우16례(80%)，량3례(15%)，일반1례(5%)。결론：조기유선암술후배활기기판연합즉각가체식입유방중건시간단、조작간편、효과량호，환자만의，시안전가고치득추엄적수술방법。
Objective:To explore the feasibility,therapeutic effect,safety and postoperative cosmetic effect of latissimus dorsi muscle flap combined with immediate prosthesis implanted for breast reconstruction postoperative early breast cancer.Methods:20 patients with early breast cancer from April 2013 to August 2013 were treated with breast cancer modified radical mastectomy and the latissimus dorsi muscle flap transfer combined with immediate silicone prosthesis implanted between pectoris major and minor for breast reconstruction.Results:20 patients received adjuvant chemotherapy and there was no local recurrence or distant metastasis during the follow-up period,and the patients were satisfied with the appearance and texture of the reconstructive breast.16 cases(80%) was optimal,3 cases(15%) was good,1 case(5%) was common in postoperative cosmetic effect evaluation. Conclusion:Latissimus dorsi muscle flap combined with immediate prosthesis implanted for breast reconstruction postoperative early breast cancer had short time,simple operation,good effect and patient satisfaction,which was safe and reliable operation and worthy of popularizing.