乳腺癌术后一期假体置入乳房再造与美学塑形  

Immediate breast reconstruction with implants for breast cancer and aesthetic shaping

作　　者：罗建国[1] 傅建民[2] 陈少君[2] 梁娜[2] 

机构地区：[1]南方医科大学附属深圳市妇幼保健院整形外科,广东深圳518048 [2]南方医科大学附属深圳市妇幼保健院乳腺科

出　　处：《中国美容医学》2010年第1期4-6,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨如何将乳房美学运用于乳腺癌术后一期假体置入乳房再造,以便获得良好的外观效果。方法:实施一期假体置入乳房再造时,注重把修复再造和美学塑形结合起来,手术要点:向下游离胸大肌止点及部分腹直肌前鞘深面,以便形成与健侧基本对称的乳房下皱襞;外侧游离前锯肌,形成前锯肌瓣,并与胸大肌外缘缝合,使乳房假体置于完整的肌后腔隙,既可有效避免假体移位,又可突显乳房外侧弧度美。结果:21例乳腺癌患者应用此方法行一期假体置入乳房再造,优14例,良6例,一般1例。优良率为95.2%。结论:实施一期假体置入乳房再造时,只有将修复再造和美学塑形结合起来,才能再造出具有良好外形和质感的乳房,使患者满意。Objective To explore ways to apply breast aesthetic to immediate breast reconstruction with implants for breast cancer, so that favorable appearance could be seen. Methods Carry out the immediately reconstructive breast surgery with implants with the emphasis on the combination of reconstructive repair and aesthetic shaping. The essential of surgery： Down dissociate the dead point of pectoralis major and part of the pre-sheath of rectus abdominis to form the basically symmetrical inframammary fold as the healthy side. Outside dissociate the serratus anterior to form the flap, and suture with the margin of pectoralis major. With the above steps, not only the implants shift could be prevented effectively, but also the outside aesthetic radian of the breasts could be stood out. Results This immediately reconstructive breast surgery was completed in 21 breast cancer patients. We obtained 14 Excellent result cases, 6 Satisfactory ones, and 1 ordinary ones. The acceptance rate was 95.2%. Conclusion Only if we combine the reconstructive repair and aesthetic shaping together during the immediately reconstruction surgery with implants will the patients be satisfied with the breasts with perfect appearance and texture.

关 键 词：乳腺癌 乳房再造 美学 

分 类 号：R655.8[医药卫生—外科学]