关键词: 全乳切除术, 硅胶假体, I期乳房重建, II期乳房重建

Abstract:

【Abstract】 Objective To sum up experience of the stage Ⅰ/Ⅱ breast reconstruction with prostheric implantation after mastectomy in patients with breast cancer. Methods The retrospective study was performed in 87 patients with breast cancer who were treated with stage Ⅰ/Ⅱ breast reconstruction with prostheric implantation after mastectomy from June 2005 to December 2012. Results The objective evaluation after primary breast reconstruction showed that the excellent and good rate reached to 95.2%,..and the subjective evaluation were 93.6%..The objective and subjective evaluations after delayed secondary reconstruction were 100%..The inchemic necrosis in nipple and areola occurred in two cases after the primary breast reconstruction,.and the silicone gel prosthesis was removed..And scar formed after healing in one case because of nipple necrosis..All the cases were followed up for 2-92 months,.no metastasis and local recurrence were found. Conclusion Stage Ⅰ/Ⅱ breast reconstruction with silicone gel prosthesis after total mastectomy is proven to be an effective and safe method with the advantage of fast recovery.

Key words: Total mastectomy, Silicone gel prosthesis, Primary breast reconstruction, Secondary breast reconstruction