保留乳头乳晕乳腺全切除术并Ⅰ期乳房重建126例

目的探讨保留乳头乳晕的乳腺全切除术（NSM）及Ⅰ期乳房重建的适应证、方法、效果及可行性。方法对深圳市第二人民医院2005年6月至2011年10月收治的126例乳腺癌患者行保留乳头乳晕的乳腺全切术及Ⅰ期假体植入的乳房重建术，术后从客观和主观两方面评价美容效果，观察其并发症及随访治疗效果。结果126例患者均手术成功。6例早期出现轻微并发症，予以对症治疗后痊愈。术后随访6-80个月，主、客观评价的优良率均为97．62％。其中118例乳腺癌患者无局部复发和远处转移。结论保留乳头乳晕的乳腺全切术及Ⅰ期乳房重建术的手术操作简单易行，美容效果好，无严重并发症，且不影响乳腺癌的综合治疗。

Immediate breast construction after nipple-sparing mastectomy for 126 cases

Objective To investigate the indications, surgical methods, effects and feasibility of immediate breast construction after nipple-sparing mastectomy. Methods The immediate breast reconstruction after nipple-sparing mastectomy was performed in 126 cases with breast cancer from June 2005 to October 2011. The effects of reconstructed breast were evaluated according to objective and subjective criteria. Postoperative complications were observed and therapeutic effects were followed up. Results All operations were successful. Six cases had slight complications in early postoperative stage and were cured quickly. The aesthetic outcome and the satisfactory rate were all 97.62% during 6-80 months of follow-up period. No recurrence and metastasis were founded in 118 cases. Conclusion The operation method of immediate breast reconstruction after nipple-sparing mastectomy is maneuverable and has excellent effect of aesthetics with no influence of the therapy of breast cancer.