前锯肌肌瓣在乳腺癌改良根治术后即刻乳房再造中的应用

发布时间：2018-03-22 04:06

  本文选题：乳腺癌　切入点：改良根治术　出处：《中国修复重建外科杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨前锯肌肌瓣联合假体植入在乳腺癌改良根治术后即刻乳房再造中的应用。方法 2015年1月—12月收治25例乳腺癌女性患者,年龄24~62岁,平均40.6岁。左侧9例,右侧16例。均为浸润性导管癌。TNM分期:Ⅰ期14例,ⅡA期11例。肿瘤位于乳房外上象限14例,上方7例,外下象限4例;均为单发肿块,肿块直径均3 cm;无远处转移。前哨淋巴结均为阴性。改良根治术后,采用前锯肌肌瓣联合假体植入即刻再造乳房,其中22例保留乳头乳晕。结果手术时间113~148 min,平均136 min。术后再造乳房均全部成活,切口均Ⅰ期愈合,无血肿、感染等并发症发生。患者均获随访,随访时间6~18个月,平均15个月。除1例未随访达12个月外,其余患者术后12个月时参照再造乳房评价标准,获良23例、中1例。随访期间无肿瘤复发。结论乳腺癌改良根治术后采用前锯肌肌瓣联合假体植入即刻乳房再造,操作简便、损伤小、术后并发症少、再造乳房形态良好,患者满意度高。
[Abstract]:Objective to investigate the application of serratus anterior muscle flap combined with prosthesis in immediate breast reconstruction after modified radical mastectomy. Methods 25 women with breast cancer were treated from January to December 2015, aged 24 to 62 years, with an average age of 40.6 years. There were 16 cases on the right. All of them were classified as infiltrating ductal carcinoma. TNM staging: 14 cases were stage 鈪，

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