摘要
目的 研究实施乳腺癌改良根治加术后假体置入即刻乳房再造手术治疗早期乳腺癌的可行性和推广这种术式的可能性。方法 对临床Ⅰ、Ⅱ期乳腺癌或者低度恶性肿瘤的病人，实施了乳腺癌改良根治术后即刻乳房再造手术。术前检查明确有无手术指征，常规实施保留胸大肌和胸小肌的乳腺癌改良根术，按自愿选择的原则采用即刻乳房再造手术。根据术后病理情况及其他预后指标决定术后辅助治疗方案，分别于术后3、6、12个月评价即刻乳房再造手术的美容效果。结果 共实施乳腺癌改良根治术后假体置入即刻乳房再造手术15例，占同期乳腺恶性肿瘤手术病人的2．2％。肿瘤直径1．5～11．0cm，术后病理浸润性导管癌11例，黏液腺癌1例，叶状囊肉瘤3例。全部病例随访未发现复发和转移，1例术后出现轻度假体移位，1例放疗后出现假体轻度萎缩，美容效果不理想。结论 乳腺癌改良根治加术后假体置入即刻乳房再造手术美容效果良好，可显著提高乳腺癌患者的生活质量。
Objectives To evaluate the effect of mastectomy and immediate breast reconstruction for the treatment of early-stage breast cancer. Methods Patients with breast cancer of stage Ⅰ end Ⅱ were treated with mastectomy end axillary dissection followed by immediate breast reconstruction with an implant placement according to patients＇will. The cosmetic results end quality d life were analyzed at the time d 3,6 and 12 months after surgery. Results Fifteen patients were treated with mastectomy end axillary dissection followed by immediate breast reconstruction with an implant placement, of which 11 cases of infiltrating ductal carcinoma, 1 case of mucinous adenocareinoma end 3 cases of cystosareoma phyllodes. All cases were followed-up and the patients＂ own rating of breast cosmesis end quality of life was asked without local recurrence end remote metastasis. The cosmetic results were good in 13 patients end fair in 2 patients. Conclusion Mastectomy and axillary dissection followed by immediate breast reconstruction with an implant placement is superior to modified radical mastectomy in terms of improving breast cosmesis end quality of life.
出处
《广西医学》
CAS
2007年第6期801-802,共2页
Guangxi Medical Journal
关键词
乳腺肿瘤
根治术
乳房再造术
乳房假体
生活质量
Breast neoplasm
Immediate reconstruction
Mastectomy
Cosmesis,omplent
Quality of life
