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乳腺癌保守性乳房切除联合乳房重建的研究进展

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目的 了解目前关于乳腺癌保守性乳房切除联合乳房重建的研究现状,为外科医生及乳腺癌患者手术方式的选择提供参考.方法 收集近年来国内外关于保守性乳腺切除联合乳房重建相关研究的文献并进行归纳总结.结果 目前保守性乳房切除术主要有保留乳头乳晕的乳房切除术、保留皮肤的乳房切除术及缩减皮肤的乳房切除术,这3种术式均安全、有效,手术并发症在可控范围内;联合乳房重建能获得较好的美容效果,能提高患者术后满意度及生存质量.结论 对乳腺癌患者进行充分的术前评估后,保守性乳房切除术为合适的乳腺癌患者提供了一种治疗选择,切除后根据患者乳房大小、下垂度及患者个人期望制定个体化重建方式,能使患者在治疗疾病的同时获得较高的生存质量.
Progress of conservative mastectomy with breast reconstruction for breast cancer
Objective To understand the current research status of conservative mastectomy with breast reconstruction for breast cancer,so as to provide a reference for surgeons and patients with breast cancer to choose surgical method.Method The recently domestic and foreign literature on the research of conservative mastectomy with breast reconstruction for breast cancer was reviewed and summarized.Results At present,conservative mastectomy mainly included nipple sparing mastectomy,skin sparing mastectomy,and skin reduction mastectomy.All three surgical methods were safe and effective in the treatment of breast cancer,and the complications could be controlled.When combined with breast reconstruction,the better cosmetic effect could be obtained,and the postoperative satisfaction and quality of life of patients were markedly improved.Conclusions After comprehensively preoperative evaluation for patients with breast cancer,conservative mastectomy provides a treatment choice for them.After conservative mastectomy,individualized reconstruction scheme is formulated according to size and sagging degree of breast,as well as individual expectations of patients,which can obtain a higher quality of life while treating diseases for patients with breast cancer.

breast cancerbreast reconstructiononcological safetycomplicationsatisfaction

龚俊戈、徐家威、厉红元

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重庆医科大学附属第一医院乳腺甲状腺外科(重庆 400010)

乳腺癌 乳房重建 肿瘤安全性 并发症 满意度

2024

中国普外基础与临床杂志
四川大学华西医院

中国普外基础与临床杂志

CSTPCD
影响因子:0.858
ISSN:1007-9424
年,卷(期):2024.31(2)
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