可扩张乳房假体在一期乳房再造术中的应用

目的探讨乳癌根治术后应用可扩张乳房假体置入一期乳房再造术的适应证、手术方法、手术效果。方法2002年1月至2006年3月，30例患者采用乳癌根治术后可扩张乳房假体置入一期乳房再造术，其中5例保留了乳头乳晕。结果手术效果较为满意，3例乳房出现微小并发症，其中2例皮瓣局灶坏死，另1例出现乳头乳晕部分坏死。结论可扩张乳房假体置入乳房再造术适用于不适合单纯乳房假体置入法乳房再造术者，其与先行扩张器置入进行皮肤软组织扩张，然后置换乳房假体的乳房再造方法相比，减少了1次大手术，术后恢复快，不增加额外瘢痕。

Expandable implants in immediate breast reconstruction

Objective To investigate the indications, surgical methods and esthetic results in patients undergoing immediate breast reconstruction with expandable implants. Methods From January 2002 to March 2006, immediate breast reconstructions were carried out with expandable implants following mastectomy in 30 breast cancer patients. Nipple-areolas were preserved in 5 patients. Results Very satisfactory results were achieved. Minor complications were recorded in 3 patients, two with local skin necrosis, and another with partial necrosis of nipple-areola complex. Conclusions The techniques provide better results for the patient who is not a candidate for simple implant reconstruction. These techniques also eliminate the need for a second major surgery to replace a temporary expander with a permanent implant in those patients needing soft tissue expansion. It is a simple procedure with advantages of no additional scarfing, short time for convalescence.