目的：探究组织瓣转瓣术对乳腺癌保乳术患者乳房美学及生活质量的影响。方法：纳入2013年4月~2017年6月在我院诊治的Ô发性乳腺癌女性患者52例，根据患者及家属意愿分为对照组（n=23）和研究组（n=29），对照组患者在乳腺癌保乳术后给予常规基本治疗，研究组患者在乳腺癌保乳术后，立即性组织瓣转瓣术。观察两组患者疗效，术后并发症，心理状态评分及乳房美学评分。分析组织瓣转瓣术对乳腺癌保乳术患者乳房美学及生活质量的影响。结果：手术治疗后，研究组患者的乳房对称性、表面平整度、皮肤效果、乳头移动距离单项评分明显高于对照组，且研究组总评分显著高于对照组。两组患者乳房皮肤色泽及手术切口瘢痕，差异无统计学意义。术后，对照组出现1例远处转移，研究组未出现远处转移，对照组和研究组均未出现局部复发情况；对照组有1例伤口感染，1例伤口积液，研究组有2例伤口感染，1例伤口血肿。两组相比差异无统计学意义。术后研究组患者的疼痛明显减轻，且生活质量明显优于对照组。结论：利用组织瓣转瓣术修复乳腺癌保乳术后乳房缺损，可避免乳房严重变形，有效保持外观及形态，有利于改善患者术后生活质量，可推广应用。

Objective to investigate the effect of tissue flap transfer for mammary cancer after breast conserving surgery on breast aesthetics and quality of life. Methods From April 2013 to June 2017 in our hospital diagnosis and treatment of 52 cases of female patients with primary breast cancer, according to the wishes of patients and their families, 52 cases primary breast cancer were divided into control group (n=23) and study group (n=29), the control group in the patients with breast cancer after breast conserving surgery received conventional basic treatment, patients in study group were treated with breast conserving surgery in breast cancer immediately, the flap flap transfer surgery. To observe the curative effect of two groups of patients, postoperative complications, psychological status and aesthetic score. Analysis of the effect of breast tissue flap transposition surgery of breast conserving surgery in patients with breast aesthetics and quality of life. Results After surgical treatment, the patients with breast symmetry, surface roughness, skin effect, nipple moving distance of individual scores in study group was significantly higher than control group , and the total scores of study group were significantly higher than control group . Two groups of patients with breast skin color and the incision scar, difference was no statistically significant . After operation, there was 1 cases distant metastasis in control group, and no distant metastasis in study group. There was no local recurrence in two groups. the control group had 1 cases wound infection, and 1 cases wound effusion; the study group appeared 2 cases wound infection, 1 cases wound hematoma. The difference between the two groups was not statistically significant . The pain of the patients in the study group was significantly reduced, and the quality of life was significantly better than control group . Conclusion Using tissue flap to repair breast defects after breast conserving surgery can avoid severe breast deformation, and effectively maintain the appearance and shape of the breast, improving the patient’s quality of life It is worth to popularizing and applying.