乳腺癌术后的乳房重建

摘要

Breast reconstruction can help to address the disfigurement and reduce passive emotion impact that often follow mastectomy.The decision whether to pursue reconstruction and the choice of reconstructive strategy are individualized decisions that must take into account the patients body characteristics, overall health,breast cancer treatment plan,and personal preferences.Breast reconstruction broadly include implant-based reconstruction or autologous reconstruction.Both saline-filled and silicone gel-filled implants are safe and effective options for implant-based reconstruction.Autologous reconstruction usually uses the tissue from the abdomen,free abdominal flap technique allowing preservation of the abdominal muscles resulting in less abdominal complication after the reconstruction.Both implant-based and autologous procedures have advantages and drawbacks,and both types of reconstruction may be compromised by subsequent radiation therapy.%乳房重建能纠正乳房切除术后的形体畸变和减少负面情绪影响,并且不影响乳腺癌的预后及监测.是否进行重建和重建策略的制订需要个体化,必须考虑患者的形体特点、全身情况、乳腺癌治疗计划和个人喜好.乳房重建大体分为假体重建和自体组织重建.假体重建中使用盐水或硅胶假体同样安全有效;自体组织重建通常使用腹部皮瓣,其中腹部游离皮瓣技术能有效保留腹部肌肉,减少术后腹部并发症.无论是假体重建或自体组织重建都有其优缺点,都需考虑后续放疗的影响.