摘要
目的 介绍保留皮肤的乳腺癌根治术后即时乳房乳头再造经验。方法 对早期乳腺癌 ,保留乳房皮肤 ,切除乳腺组织和腋窝淋巴结 ,应用下腹部横行腹直肌肌皮瓣即时再造乳房乳头。结果 应用该方法治疗 12例 ,再造乳房形态良好。结论 保留皮肤乳腺癌根治术后即时乳房再造 ,切口隐蔽 ,再造乳房形态效果好 ,对早期乳腺癌患者值得推广应用。
Objective This study is to introduce our experience about the skin-sparing mastectomy and immediate breast reconstruction using transverse rectus abdominis myocutaneous (TRAM) flap. Methods For early stage breast cancer, we preserve the breast skin, perform the subcutaneous glandular excision, axillary dissection, and immediate breast reconstruction. Results 12 patients were treated by skin-sparing mastectomy and immediate TRAM breast reconstruction. The morphology of reconstructed breasts was excellent. Conclusion Skin-sparing mastectomy and immediate TRAM breast reconstruction is safe and effective for treating early stage breast cancer.