目的：对早期乳腺癌保留乳头乳晕复合体的皮下乳腺癌改良根治术效果及并发症防治进行分析研究。方法：选取2011年4月-2013年4月笔者所在医院30例经保留乳头乳晕复合体的皮下乳腺癌改良根治术治疗的患者，对其临床资料进行回顾性分析，观察治疗效果，总结并发症防治措施。结果：本组30例患者中术后皮下积液者4例，经穿刺抽液治疗后痊愈，乳头表皮部分坏死者2例，乳头皮肤痂脱落后愈合；切口甲级愈合者26例，短期内所有患者均无局部复发及远处转移。结论：乳腺癌保留乳头乳晕复合体改良根治术疗效确切，可保持乳房美观及功能，精准的术中操作和有效的术后防治措施可降低术后并发症的发生率。%Objective:To analyze the effects and prevention of complications of modified radical mastectomy with preserved nipple-areola complex and breast reconstruction for early breast cancer.Method:30 cases of early breast cancer who treated with complications of modified radical mastectomy with preserved nipple-areola complex and breast reconstruction from April 2011 to April 2013 in our hospital were selected,the clinical data of puerpera were analyzed retrospectively,the treatment effect was observed and the complication prevention measures were concluded.Result:There were 4 cases of subcutaneous effusion in 30 cases of patients after surgery,after pumping fluid puncture cured,2 cases of papillary necrosis of the epidermis healed after nipple skin scab shedding, there were 26 cases of grade incision healing,all patients had no local recurrence and distant metastasis in short time.Conclusion:Modified radical mastectomy with preserved nipple-areola complex and breast reconstruction has a define effect,to maintaining the appearance and function of breast,accurate operation and postoperative prevention and control measures can reduce the incidence of complications.
展开▼
