李晟 傅荣

    [摘要]目的：探讨磁共振成像技术结合线性测量法在乳腺癌术后一期假体置入乳房再造中的临床应用价值。方法：共纳入34例乳腺癌患者，采用磁共振成像技术结合线性测量法测量乳房，选取合适规格大小的假体。术后随访6～24个月，分析患者双侧乳房对称性指标、美容效果及术后并发症情况。结果：患者患侧与健侧乳房相关对称性参数(SN-N、C-N、N-M、MBW、N-IMF)比较差异不具有统计学意义(P>0.05)。主观美容效果评价采用Harris评价方法，美观率为84.85%;客观美容效果评价采用泽井法标准，美观率为81.82%。患者术后生存率100.00%，并发症发生率为8.82%。结论：磁共振成像技术结合线性测量法可较准确地测量乳房腺体体积、所需假体基底直径、纵径及凸度，提供较为完整的乳房再造术前信息，可作为乳腺癌术后一期假体置入乳房再造中选择合适假体的一种参考方法。

    [关键词]乳房再造;假体隆乳术;乳腺癌;磁共振成像

    [中图分类号]R737.9? ? [文献标志码]A? ? [文章编号]1008-6455(2021)01-0024-04

    Application of MRI Combined with Linear Measurement in Primary Breast Reconstruction Prosthesis Implantation after Breast Cancer Surgery

    LI Sheng1，2，FU Rong3

    (1.Zunyi Medical University，Zunyi 563003，Guizhou，China;2.Department of Plastic Surgery，Guangyuan Central Hospital，Guangyuan 628000，Sichuan，China;3.Department of Plastic Surgery，Sichuan Academy of Medical Sciences，Sichuan Provincial Peoples Hospital，Chengdu 610072，Sichuan，China)

    Abstract： Objective? To explore the application of MRI combine with linear measurement in primary breast reconstruction prosthesis implantation after breast cancer surgery. Methods? A total of 34 patients with breast cancer were included. The breast was measured by magnetic resonance imaging (MRI) combined with linear measurement ......