保留乳头乳晕复合体乳房切除术的手术切口设计

摘要

随着外科技术的不断发展，保留乳头乳晕复合体(nipple-areola complex，NAC)的乳房切除术(nipple-areola complex-sparing mastectomy，NSM)在乳腺癌患者中得到了越来越多的应用。在保证肿瘤患者安全性的基础上，术后的美观也是临床医生和患者十分关注的问题。切口的选择不但会对手术的可操作性产生影响，还与术后的效果密切相关。目前，关于NSM术中手术切口选择并无共识。就NSM术中手术切口选择的问题，回顾性分析相关临床研究，旨在为临床工作提供借鉴及参考。%With the development of surgical techniques, the use of nipple-areola complex (NAC)-sparing mastectomy (NSM) has been increasing. Except for oncologic safety, the aesthetic outcome of surgery is greatly concerned by clinicians and patients. So far, there has been no consensus on the incision of NSM. This article reviewed the literature so as to provide some evidence for the selection of NSM incision.