乳腺癌改良根治术后自体背阔肌皮瓣乳房重建术后X线表现

发布时间：2018-04-28 04:44

本文选题：乳腺癌 + 改良根治术　；参考：《放射学实践》2015年04期

【摘要】：目的:探讨乳腺癌改良根治术及自体背阔肌皮瓣乳房重建术后X线表现。方法:46例行乳腺癌改良根治术及自体背阔肌皮瓣乳房重建术的患者,术后使用GE Senographe DS全数字化乳腺摄影机进行检查。结果:46例中于重建术后第一年内进行X线检查者12例,主要表现为背阔肌影约占乳房一半者9例,小于一半者2例,大于一半者仅1例;重建术后第二年内进行X线检查者21例,表现为背阔肌影约占乳房一半者有2例,小于一半者18例,大于一半者1例;重建术后第三年内进行X线检查者13例,均表现为背阔肌影明显小于乳房的一半。乳房重建术后其它表现:出现钙化影3例,小结节影2例。结论:乳腺癌根治术及自体背阔肌皮瓣乳房重建术后,随着时间延长而表现为背阔肌逐渐萎缩、局部脂肪逐渐增多。
[Abstract]:Objective: to investigate the X-ray features of breast cancer after modified radical mastectomy and breast reconstruction with latissimus dorsi flap. Methods Twenty six patients with breast cancer underwent modified radical mastectomy and breast reconstruction with latissimus dorsi flap. GE Senographe DS digital mammary camera was used after operation. Results among 46 cases, 12 cases underwent X-ray examination within the first year after reconstruction. The main findings were that latissimus dorsi accounted for half of breast in 9 cases, less than half in 2 cases, and more than half in only 1 case. Twenty-one patients underwent X-ray examination within the second year after reconstruction. The results showed that latissimus dorsi was about half of the breast in 2 cases, less than half in 18 cases, and more than half in 1 case, and 13 cases underwent X-ray examination within the third year after reconstruction. The latissimus dorsi shadow was obviously less than half of the breast. Other findings after breast reconstruction included calcification in 3 cases and nodules in 2 cases. Conclusion: after radical mastectomy and breast reconstruction with autologous latissimus dorsi flap, the latissimus dorsi muscle gradually shrinks and local fat increases with time.
【作者单位】：广西桂林市中医医院医学影像科;
【分类号】：R737.9;R730.44

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