目的：采用保留乳头乳晕的乳腺病灶切除术后，即刻腹壁下动脉穿支（ DIEP）皮瓣乳房重建，探讨乳腺癌术后DIEP即刻乳房重建的近期疗效。方法对我院2011年1月至2015年1月期间接受DIEP乳房再造的14例乳腺癌患者进行回顾性分析，探讨该术式的特点及临床适应证，并对其美容效果及术后并发症进行评估。术后随访1～24个月。结果14例患者乳房重建均获成功，所有皮瓣全部成活，2例出现皮瓣远端坏死，胸部受区出现1例血肿。术后随访1～24个月，重建乳房外形满意，供区无腹壁疝、腹壁膨出、腹壁薄弱等并发症发生。结论使用DIEP重建乳房是安全可靠的，切口隐蔽，同时具有受区组织条件好、皮瓣组织量丰富、供区损伤小及并发症少的优点，能同时满足肿瘤治疗及形体美观的要求。%Objective To evaluate the early outcomes of breast reconstruction with immediate deep inferior epigastric perfora -tor ( DIEP) flaps after resection of breast cancer with DIEP reconstruction after modified radical mastectomy with papilla and mammary areola reserving .Methods A retrospective analysis of 14 breast cancer patients who were hospitalized and received breast reconstruc -tion from January 2011 to January 2015 was made, so as to investigate the features of the surgery and its clinical indications .Then, e-valuations were performed on the cosmetic effects and postsurgical complications .A 1-24-month medical follow-up was made after sur-gery.Results Breast reconstruction surgery was successful in all the 16 patients, all the flaps completely survived postoperatively , with 2 cases of distal skin flap necrosis and 1 case of hematoma in the surgical site .No complications such as abdominal hernia or bulge in donor sites were found and the reconstructed breast was well-shaped.Conclusion The immediate DIEP reconstruction is safe and relia-ble, at the same time, it has the advantages of hidden incision , rich blood supply of the affected area , abundant tissue volume, minimal donor site damage , less complications , which met the requirements of oncotherapy and aesthetics as well .
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