乳腺癌乳房整形外科应用现状与进展

 乳腺癌术后乳房重建已成为乳腺癌综合治疗不可或缺的一部分，旨在不影响乳腺癌预后的基础上，提高患者生活质量。虽然中国乳腺癌乳房整形外科起步较早，但近几年才逐渐进入快速发展时期，且与发达国家仍存在较大差距。乳腺癌术后乳房重建整形技术主要包括肿瘤保乳整形技术以及全乳切除术后乳房重建，而乳房重建又可分为自体皮瓣重建及植入物重建。同时，脂肪移植、生物材料等重建辅助技术也在快速发展。国内首个较为全面细致的乳房重建指南，乳腺肿瘤整形与乳房重建专家共识将于今年发布，对乳房整形重建问题进行全面探讨和分析。在遵循乳房重建共识和指南的基础上，积极完善专科医生培训体系，建立更广泛深入的学科合作，从而促进我国乳腺癌术后乳房整形与重建技术的发展。  

Current status and progress of oncoplastic surgery and breast reconstruction after breast cancer

reast reconstruction after breast cancer have become an inevitable part of breast cancer treatment， which can improve patients quality of life without infection of prognosis.AlthoughChina has an early origin of breast reconstruction， the rapid development arises until recent years， and there is still a large gap with developed countries.Oncoplasticbreast conserving surgery and breast reconstruction after mastectomy are two major parts of breast reconstruction after breast cancer. Breast reconstruction after mastectomy including autologous reconstruction and implant reconstruction. At the same time， the rapid development of supporting technologies including lipo grafting and biological materials provide a new insight for breast reconstruction.The first comprehensive and detailed guidelinein China for breast reconstruction after breast cancer will be published this year. On the basis of the consensus， a sound training system of specialist doctors and an extensive disciplinary cooperation will promote the development of breast plastic and reconstruction in China.