保留乳头乳晕复合体乳房切除术联合假体乳房重建的研究进展  

Research advances in nipple-areola complex-sparing mastectomy combined with prosthetic breast reconstruction

作　　者：刘小涵 闵柠柠 白雪[2] 李席如[2] Liu Xiao-Han;Min Ning-Ning;Bai Xue;Li Xi-Ru(School of Medicine,Nankai University,Tianjin 300071,China;Department of General Surgery,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]南开大学医学院,天津300071 [2]解放军总医院第一医学中心普通外科,北京100853

出　　处：《解放军医学杂志》2023年第10期1229-1236,共8页Medical Journal of Chinese People's Liberation Army

摘　　要：乳房重建是全乳切除术后重要的美容修复手段。保留乳头乳晕复合体乳房切除术(NSM)避免了全乳切除术后乳房重建时乳头缺失、乳头重建效果差、手术操作复杂等问题,患者满意度更高。假体乳房重建不涉及供区损伤,对机体创伤小,并发症发生率和再次手术率低,是目前临床使用最广泛的重建方法之一。NSM联合假体乳房重建安全、美观、术后满意度高,可显著改善患者的社会心理健康和生活质量。本文就NSM、假体乳房重建及辅助治疗对NSM联合假体乳房重建的影响进行综述。Breast reconstruction is an important cosmetic repair after total mastectomy.Nipple-areola complex-sparing mastectomy(NSM)avoids such problems as nipples loss,poor nipple reconstruction,and complicated surgical procedures during breast reconstruction after total mastectomy,resulting in higher patient satisfaction.Prosthetic breast reconstruction is the most widely used breast reconstruction method with no donor injury,little trauma,low complication rate and re-operation rate.NSM combined with prosthetic breast reconstruction is safe,aesthetically pleasing,highly satisfied after surgery,and can significantly improve the patient's social mental health and quality of life.This article reviews NSM,implant breast reconstruction and the effects of adjuvant therapy on NSM combined with prosthetic breast reconstruction.

关 键 词：乳腺癌 保留乳头乳晕复合体乳房切除术 假体乳房重建 

分 类 号：R655.8[医药卫生—外科学]