Zuo W, Yi L, Wang Y
Shandong Tumor Hospital & Institute, Jinan.
Zhonghua Yi Xue Za Zhi. 1997 Jul;77(7):491-3.
To discuss the method for nipple-areola preserved mastectomy with one-stage breast reconstruction in cancer surgery.
Because of the merits of sufficient blood supply and plasticity of rectus abdominis musculocutaneous flap, we used one-stage breast reconstruction after modified radical mastectomy. The incision line was covered and the nipple-areola was preserved. The reconstructed breast was naturally in contour.
21 cases were treated from 1990 to 1995, and 18 of them received horizontal-rhombus shaped rectus abdominis musculocutaneous flaps and 3 longitudinal-rhombus flaps for breast reconstruction. Nipple-areola was preserved in 16 cases. Objective evaluation after operation showed that the excellent and satisfied rate reached to 90.5%; and subjective evaluation showed that the excellent and satisfied rate reached to 95.2%. Thirteen cases have been followed up for 3 years, and 9 for 5 years. Three-year survival rate was 100% (13/13), and 5-year 88.9% (8/9).
The method is recommendable for the treatment of stage I-II breast cancer.
探讨乳腺癌手术中保留乳头乳晕的乳房切除一期乳房重建的方法。
由于腹直肌肌皮瓣血供充足且可塑性强，我们在改良根治性乳房切除术后采用一期乳房重建。覆盖切口线并保留乳头乳晕。重建后的乳房外形自然。
1990年至1995年共治疗21例，其中18例采用水平菱形腹直肌肌皮瓣、3例采用纵向菱形腹直肌肌皮瓣进行乳房重建。16例保留了乳头乳晕。术后客观评价显示优良率达90.5%；主观评价显示优良率达95.2%。13例随访3年，9例随访5年。3年生存率为100%（13/13），5年生存率为88.9%（8/9）。
该方法推荐用于I-II期乳腺癌的治疗。
