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目的:探讨乳腺外科手术中应用保留乳头乳晕的乳腺切除和乳房重建的疗效。方法:以该院2014年4月至2015年4月收治的36例乳腺肿瘤患者为研究对象,给予其保留乳头乳晕的乳腺切除和乳房重建术进行治疗,分析患者的外观及治疗效果。结果:36例患者中,28例(77.78%)患者的再造乳房的形态评定为优,8例(22.22%)患者的再造乳房的形态评定为良,0例(0.00%)患者的再造乳房的形态评定为差。36例患者硅凝胶假体植入乳房再造术15d后,未出现包膜挛缩、假体破裂等并发症;术后30 d时触摸乳房,发现整个乳房可随意运动,患者感觉再造乳房仍在供体部位,且体积与手术时相比略微缩小,治疗效果良好。结论:乳腺外科手术中应用保留乳头乳晕的乳腺切除和乳房重建术进行治疗,效果安全可靠,无严重并发症,美容效果好。
Objective: To investigate the effect of mastectomy and breast reconstruction in breast surgery with preserved nipple areola. Methods: Thirty-six patients with breast cancer admitted from April 2014 to April 2015 in our hospital were treated by mastectomy and breast reconstruction without nipple areola, and the appearance and the therapeutic effect were analyzed. RESULTS: Of the 36 patients, 28 (77.78%) had reformed breasts with excellent morphology, 8 (22.22%) had reformed breasts with good morphology, and 0 (0.00%) had breast reconstruction Morphological assessment as poor. 36 patients with silicone gel implants implantation breast reconstruction 15d, there was no capsule contracture, prosthetic rupture and other complications; 30 d after touch the breast and found that the entire breast can be free exercise, the patient feeling breast reconstruction is still Donor site, and the volume is slightly smaller than the surgery, the treatment effect is good. Conclusion: Breast surgery with preserved nipple areola and breast reconstruction and breast reconstruction, the effect is safe and reliable, no serious complications, cosmetic effect is good.