摘要
目的总结Ⅰ~Ⅲ期乳腺癌术后乳房重建的手术经验。方法回顾性分析乳腺癌术后采用背阔肌、腹直肌、假体(包括扩张器植入和假体植入)进行乳房重建50例患者的临床资料,对其术后并发症、局部复发率、远处转移进行评估,总结手术经验。结果 50例平均手术时长为5.0 h;45例术后接受了辅助治疗,其中化疗26例,放疗10例,化疗加放疗7例,单纯内分泌治疗2例;50例术后均无皮瓣坏死,未见局部复发及远处转移;1例术后出现假体感染,经抗感染等对症治疗后痊愈。结论对于Ⅰ~Ⅲ期乳腺癌患者,乳房重建是一种既增强患者生活信心、提高患者生活质量,又不影响乳腺癌后期治疗效果的手术方式。
Objective To summarize the surgical experience of postoperative breast reconstruction of stage Ⅰ~Ⅲ breast cancer.Methods Clinical data of 50 cases who have received breast reconstruction using latissimus dorsi,rectus abdominis and prosthesis(including expander implantation and prosthetic implantation)were retrospectively analyzed.The postoperative complications,local recurrence rates,distant metastases were evaluated,and the surgical experiences were summarized.Results The average operation duration was 5.0 hours;45 patients received adjuvant therapy after the surgery,of which 26 patients received chemotherapy,10 patients received radiotherapy,7 patients received chemotherapy plus radiotherapy,and 2 patients received endocrine therapy.No flap necrosis,local recurrence and distant metastasis was identified in 50 patients after the surgery;and one case had a prosthetic infection after the surgery,which was healed after symptomatic treatment including anti-infection.Conclusion For patients with stage Ⅰ~Ⅲ breast cancer,breast reconstruction is an ideal surgical method that not only enhances the patients’confidence in life,improves the patients’quality of life,but imposes no effect on subsequent treatment in the later stage.
作者
张远起
黄海林
黄胜超
梁忠锃
李与勇
吴罗武
李建文
陈小东
ZHANG Yuan-qi;HUANG Hai-lin;HUANG Sheng-chao;LIANG Zhong-zeng;LI Yu-yong;WU Luo-wu;LI Jian-wen;CHEN Xiao-dong(Breast Surgery Department of the Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,China;The Huazhou People's Hospital,Huazhou 525100,China;The Fourth People's Hospital of Zhanjiang,Zhanjiang 24000,China)
出处
《广东医科大学学报》
2020年第5期588-590,共3页
Journal of Guangdong Medical University
关键词
乳腺癌
乳房重建
背阔肌肌皮瓣修复
腹直肌肌皮瓣修复
假体植入
扩张器植入
breast cancer
breast reconstruction
latissimus dorsi myocutaneous flap repair
rectus abdominis myocutaneous flap repair
prosthesis implantation
expander implantation
作者简介
张远起(1978-),男,博士,主任医师。
