本文選題：乳腺癌　切入點：改良根治術(shù)　出處：《中國修復重建外科雜志》2017年09期 　論文類型：期刊論文

【摘要】：目的探討前鋸肌肌瓣聯(lián)合假體植入在乳腺癌改良根治術(shù)后即刻乳房再造中的應用。方法 2015年1月—12月收治25例乳腺癌女性患者,年齡24~62歲,平均40.6歲。左側(cè)9例,右側(cè)16例。均為浸潤性導管癌。TNM分期:Ⅰ期14例,ⅡA期11例。腫瘤位于乳房外上象限14例,上方7例,外下象限4例;均為單發(fā)腫塊,腫塊直徑均3 cm;無遠處轉(zhuǎn)移。前哨淋巴結(jié)均為陰性。改良根治術(shù)后,采用前鋸肌肌瓣聯(lián)合假體植入即刻再造乳房,其中22例保留乳頭乳暈。結(jié)果手術(shù)時間113~148 min,平均136 min。術(shù)后再造乳房均全部成活,切口均Ⅰ期愈合,無血腫、感染等并發(fā)癥發(fā)生�；颊呔@隨訪,隨訪時間6~18個月,平均15個月。除1例未隨訪達12個月外,其余患者術(shù)后12個月時參照再造乳房評價標準,獲良23例、中1例。隨訪期間無腫瘤復發(fā)。結(jié)論乳腺癌改良根治術(shù)后采用前鋸肌肌瓣聯(lián)合假體植入即刻乳房再造,操作簡便、損傷小、術(shù)后并發(fā)癥少、再造乳房形態(tài)良好,患者滿意度高。
[Abstract]:Objective to investigate the application of serratus anterior muscle flap combined with prosthesis in immediate breast reconstruction after modified radical mastectomy. Methods 25 women with breast cancer were treated from January to December 2015, aged 24 to 62 years, with an average age of 40.6 years. There were 16 cases on the right. All of them were classified as infiltrating ductal carcinoma. TNM staging: 14 cases were stage 鈪，

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