乳腺癌术后一期假体置入乳房再造与美学塑形-2019年文档.pdfVIP

乳腺癌术后一期假体置入乳房再造与美学塑形 Immediate breastreconstruction with implants for breast cancer and aesthetic shaping LUO Jian-guo,FU Jian-min,CHEN Shao-jun,LIANG Na (Department of Plastic Surgery,Shenzhen Maternity and Child Health Care Hospital of Southern Medical University, Shenzhen 518048,Guangdong,China) :ObjectiveTo explore ways to apply breast aesthetic to immediate breast reconstruction with implants for breast cancer, so that favorable appearance could be seen.MethodsCarry 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.ResultsThis immediately reconstructive breast surgery was completed in 21 breast cancer patients. Weobtained 14 Excellent result cases, 6 Satisfactory ones, and 1 ordinary ones. The acceptance rate was 95.2%. ConclusionOnly 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. 乳腺癌术后一期乳房再造的方法有乳房假体置入和自体组 织移植两大类。 前者手术简便易行 , 不增加额外的手术瘢痕 , 病人 痛苦少 , 易于接受。 目前, 如何把修复再造和美学塑形两者结合起 来 , 以进一步改善再造乳房的外形 , 越来越被大家所重视。 我科自 2006 年起开始实施乳腺癌术后一期假体置入乳房再造 , 注重将乳 房美学运用于手