【摘 要】目的：探讨乳腺癌保乳根治术后去表皮腹部脂肪瓣填充术的患者围手术期护理要点。方法：回顾性分析和总结12例乳腺癌患者保乳根治术后去表皮腹部脂肪瓣填充术的围手术期护理过程，并做出归纳总结。结果：12例乳腺癌患者行保乳根治术+去表皮腹部脂肪瓣填充术，术后移植的去表皮腹部脂肪瓣无液化坏死，无供区血肿、乳房皮下积液、局部皮肤坏死等并发症出现，均痊愈出院。结论：围手术期间，对患者进行正确的心理护理、体位护理、伤口护理、引流管护理、疼痛护理及康复护理，同时加强对并发症的预见性观察是乳腺癌保乳根治术后去表皮腹部脂肪瓣填充术治疗成功的重要保障。

    【关键词】乳腺癌 ;保乳根治术;去表皮腹部脂肪瓣填充;护理

    Abstract：Objective To explore the main point of nursing during the perioperation of the patients who have undergone the radical breast conserving therapyfollowed bythe use ofautologous free dermal fat grafts(FDFGS)immediate breast reconstruction.Methods Retrospective analysis to the perioperation nursing process of the 12 patientswith breast cancer who were subjected to the radical breast conserving therapy followed with autologous free dermal fat grafts(FDFGS) immediate breast reconstruction. Results Among the 12 cases of patients ......