[1]陈君雪,陈君雪,亓发芝.乳腺癌术后1期乳房再造（附150例报告）[J].中华乳腺病杂志(电子版),2007,1(3):21.
　CHEN Jun-xue,ZHANG Hong-wei,QI Fa-zhi.Immediate breast reconstlh_paperction after breast mastectomy in 150 cases[J].Chinese Journal of Breast Disease (Electronic Version),2007,1(3):21.
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乳腺癌术后1期乳房再造（附150例报告）()

中华乳腺病杂志（电子版）[ISSN:1674-0807/CN:11-9146/R]

卷:
第1卷
期数:
2007年3期
页码:
21
栏目:
临床研究
出版日期:
2007-06-01

文章信息/Info

Title:
Immediate breast reconstlh_paperction after breast mastectomy in 150 cases
作者:
陈君雪;陈君雪;亓发芝
复旦大学附属中山医院普外科（陈君雪、张宏伟、杨为戈、朱玮），整形外科（亓发芝）
Author(s):
CHEN Jun-xue;ZHANG Hong-wei;QI Fa-zhi
关键词:
乳腺癌; Ｉ期乳房再造
摘要:
目的　探讨乳腺癌根治术后即时乳房再造的肿瘤治疗和形体完美双重效果。方法　对１９９９年１月至２００５年７月病理证实为乳腺癌的１５０例患者［均为女性，年龄４９±１５岁，肿瘤大小（１．６±１．２）ｃｍ，腋窝未及淋巴结］行乳腺全切除（包括传统改良根治１１例，保留乳房皮肤的改良根治１２例，保留乳头、乳晕的改良根治１２７例）后，即时行乳房再造［Ｉ期背阔肌皮瓣再造１３９例，下腹横形腹直肌皮瓣（ＴＲＡＭ）再造１１例］。结果　手术成功１４９例，失败１例（损伤血管），术后并发腹壁疝１例，乳房出现脂肪结节６例，脂肪液化３例，腹部切口延迟愈合３例，背部血肿２８例，切口边缘局部皮肤坏死７例，移植物缺血坏死１例（再次手术切除），乳头坏死４例。本组随访到１２３例，随访率８２％，平均随访时间３６．６个月，发生腋窝淋巴结转移２例，骨转移１例，锁骨上淋巴结转移１例，死亡１例（因转移自杀），无局部复发，术后外形改变（按ＪＣＲＴ标准）：优、良、中、差分别为１１．５％、４９．３％、３６．７％、２．６％。结论　乳腺癌根治术后即时乳房再造联合辅助治疗对早中期乳腺癌是可行的，能达到治疗和美容效果。

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更新日期/Last Update: 2007-01-20