目的 探讨乳腺外科整形术在乳腺癌保乳术中的价值。方法 98例行乳腺癌保乳术的患者为研究对象,依据患者肿瘤的位置和大小对乳房切口进行设计并且行局部扩大切除手术,利用自乳或乳腺外组织瓣膜修复术对患者乳房缺损部位进行修复。观察并记录其术式、边缘阳性以及并发症情况、患者满意度等。结果 患者主要术式包括上蒂倒T整形、内侧整形、下蒂倒T整形、J整形、侧胸带蒂脂肪筋膜组织整形、环乳晕整形等;手术后共17例 (17.35%) 呈边缘阳性,再次手术后转为阴性;共13例患者发生并发症,并发症发生率为13.27%;患者满意度88.78% (87/98) 。结论 乳腺外科整形术在行乳腺癌保乳术的患者中效果确切,有利于减少并发症并且提高患者生活质量和满意度。

Objective To assess the value of breast plastic surgery in breast conserving surgery for breast cancer.Methods Study subjects included 98 cases with breast conserving surgery for breast cancer.According to the location and size of tumor,breast incision was designed to perform local extended resection,then repairment of breast defects was performed using self breast or external mammary tissue valve repair.Surgical procedures,positive margins,complications,and patients’ satisfaction were observed and recorded.Results Main surgical techniques performed for the patients included inverted-T superior pedicle technique,medial reduction,inverted-T inferior pedicle technique,J technique,lateral pedicle adipofascial technique,and periareolar incision technique.After surgery,17 patients (17.35%) showed positive margins and became negative after reoperation;13 cases developed complications,with a complication rate of 13.27%;the satisfaction rate of the patients was 88.78% (87/98).Conclusion Breast plastic surgery is effective for the patients with breast conserving surgery for breast cancer and could reduce complications and improve patients’ quality of life and satisfaction.