乳腺癌保乳手术中乳房缺损的修复方法

目的综述乳腺癌保乳手术中乳房缺损的修复方法。方法分析近年来相关文献,对有关乳腺癌保乳手术中乳房缺损的修复方法、适应证、切口选择以及优缺点进行分析。结果保乳手术后部分患者存在乳房畸形,美容效果不佳。如何选择手术切口、怎样修复肿瘤切除后的乳房缺损,以获得较好的美容效果是外科手术中的焦点问题。将乳房整形技术应用于保乳手术,可明显改善美容效果。结论选择合适的早期乳腺癌患者采用乳房整形技术进行保乳手术治疗,安全、有效,术后患者对乳房外形及整体美容效果满意度高,是值得推荐的一种技术。

Techniques for Reconstruction of Partial Breast Defects after Breast-Conserving Surgery in Breast Cancer

Objective To summarize the techniques for reconstruction of partial breast defects after breastconserving surgery in breast cancer.Methods The relevant literatures were reviewed and the oncoplastic techniques and their surgical indications,incision selection,advantages,and disadvantages were summarized.Results Kinds of poor aesthetic outcomes still exist in some patients after breast-conserving surgery due to the breast deformity.How to choose the surgical incision and repair breast defects after tumor resection so as to obtain better cosmetic outcomes is still a focus of breast-conserving surgery.Oncoplastic techniques can not only achieve safe cancer treatments but also have satisfactory aesthetic outcomes.Conclusions Oncoplastic techniques in the breast conservative therapy for early stage breast cancer is a safe and effective procedure,with highly satisfactory cosmetic outcomes in the majority of patients.