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中国癌症防治杂志

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乳房再造时假体的“四维法”选择

李德全;刘剑仑;莫钦国;杨华伟;蒋奕;黄真;   

  1. 广西医科大学肿瘤医院乳腺外科;
  • 收稿日期:2010-09-25 修回日期:2010-09-25 出版日期:2010-09-25 发布日期:2010-09-25

Method of four-dimension for prosthetic breast reconstruction

LI De-quan,LIU Jian-lun,MO Qin-guo,et al.   

  1. (Department of Breast Surgery,Cancer Hospital of Guangxi Medical University,Nanning 530021,China
  • Received:2010-09-25 Revised:2010-09-25 Online:2010-09-25 Published:2010-09-25

摘要: 目的探讨一种乳腺癌乳房再造时假体选择的新方法。方法参照健侧乳房,测出其四维:体积、横径、纵径及乳房高度,根据公式计算出拟要置放假体的大小,从目录中遴选出"个性化"的假体,同时根据身高、肥胖情况再进行20~25ml的增减。结果采用上述"四维法"进行30例乳腺癌术后I期乳房假体再造术,手术效果满意,乳房形态良好。结论 "四维法"选择假体方法准确、简单和实用,值得推广应用。

关键词: 乳腺癌, 乳房再造, 四维法, 假体选择

Abstract: Objective To search a new way of designing prosthesis for breast reconstruction.MethodsIn accordance with the contralateral uninjured breast,four dimensions including volume,transverse diameter,length wise and height were measured.The size of breast prosthesis was calculated according to the formula,and then the personalized breast prosthesis was selected from the inventory.Meanwhile,a volume of 20~25ml was added to or reduced from the breast prosthesis according to patient’s height and obesity.ResultThe four-dimension method for breast prosthetic reconstruction was adopted on 30 cases of breast cancer in postoperative phase I.The effect of the operation was satisfactory and the shape of the restructured breasts was fine.ConclusionsThe four-dimension method is exact,simple and useful for designing breast prosthesis.

Key words: Breast cancer, Breast reconstruction, Four-dimension, Prosthesis