下载后可任意编辑乳腺癌乳房切除后即刻乳房再造【摘要】 近年来,乳腺癌的治疗发生了很大的变化。乳房切除后行乳房再造已逐渐成为乳腺癌治疗的一个组成部分。讨论表明乳腺癌乳房切除后即刻乳房再造是安全可行的,它既不影响肿瘤的复发和病人的总生存,也不影响辅助治疗的进行。此外,自体组织乳房再造对放射治疗有较好的耐受性,但放射治疗有增加乳房假体包膜挛缩发生的危险。即刻乳房再造的手术方法有使用乳房假体和组织扩张器法以下载后可任意编辑及利用自体组织乳房再造方法。自体组织乳房再造可采纳带蒂背阔肌肌皮瓣、横行腹直肌肌皮瓣及游离转移皮瓣等方法。另外,保留乳房皮肤的乳腺切除更有利于即刻乳房再造的实施。 【关键词】 乳腺癌;乳房切除;乳房再造 Immediate breast reconstruction after mastectomy for breast cancer 【Abstract】 In recent 下载后可任意编辑years,there was a great development in the treatment of breast reconstruction of the breast following mastectomy has been becoming an important aspect of the cancer patient’s rehabilitation safety of immediate breast reconstruction after mastectomy has been demonstrated,which has no significant effect on cancer recurrence or overall survival and 下载后可任意编辑does not delay the starting of adjuvant ,irradiation of autogenous tissue reconstruction is usually well tolerated,but irradiation of a prosthetic implant has been shown to increase the rate of capsular surgical techniques involved in reconstruction include the use of breast implants and tissue expansion,as well as reconstruction with autogenous with autogenous 下载后可任意编辑tissue includes the use of latissimus dorsi musculocutanenous flap,transverse rectus abdominus musculocutanous flap,free flap addition,the technique of skin-sparing mastectomy facilitates immediate breast reconstrution. 【Key words】 breast cancer;mastectomy;reconstrution 乳腺癌是危害妇女健康的主要肿瘤。近 10余年来乳腺癌的治疗发生了很大的变化,下载后可任意编辑表现为前哨淋巴结...