目的

探讨改善乳腺癌保乳手术后乳房美容效果的方法。

方法

2006年1月至2007年10月，本科对12例年龄为34～55岁（平均39岁）的原发性乳腺癌患者进行了病灶局部扩大切除后即刻背阔肌肌皮瓣转移整形。然后对乳腺组织切除量、乳房的美容效果及术后并发症进行评估。

结果

乳腺组织切除量为110～215 g（平均150 g）。术后乳房美容效果：优3例，良好6例，尚可3例，无外形差的病例。术后所有患者对乳房形态均满意，未发生严重并发症。

结论

利用背阔肌肌皮瓣转移即刻修补乳房缺损，是改善保乳手术后乳房美容效果的一个好方法。

Objective

To explore the way of improving cosmetic outcome after breast-conserving surgery.

Methods

From January 2006 to October 2007，12 female patients with primary breast cancer aged 34-55 years（median 39 years）underwent extended local excision and immediate breast reconstruction with latissimus dorsi flap（LDF）.Tumour characteristics，breast specimen weigh，clearance margin，cosmetic outcome and postoperative complications were assessed.

Results

The weight of the specimens ranged 110-215 g（median 150 g），and the clearance margin ranged 1-2 cm（median 1.5 cm）.The cosmetic outcome was excellent in three cases，good in six，fair in three，and no poor result was found.Satisfactory cosmetic result was achieved in all patients.There were no serious postoperative complications.

Conclusions

Immediate LDF breast reconstruction is a good method of correcting deformity of the breast after breast-conservation surgery and can improve the cosmetic outcome.