背阔肌肌皮瓣在保乳手术即刻整形中的应用
发布时间：2018-08-06 21:00
【摘要】：目的 :探讨背阔肌皮瓣修复较大乳腺肿物切除后缺损的临床效果。方法 :选取2013年3月—2017年2月8例肿物体积较大,同时有保乳手术意愿的患者,术前与患者沟通,使用背阔肌皮瓣修复切除肿物后的缺损。术后予以随访3~48个月,平均20个月,随访期观察乳房形态并询问患者满意度。结果:8例皮瓣全部存活,1例术后供区出现血清肿予以抽取积液2次后未复发、1例乳房皮瓣边缘表皮坏死予以换药后恢复,其余未出现明显并发症。7例术后放疗皮瓣未出现坏死等并发症,末次随访乳房形态良好,均满意。结论:背阔肌皮瓣修复乳腺肿物切除后部分缺损的手术方式既可达到患者的保乳要求,又能保证术后乳房形态不受影响,可作为肿块较大同时适合行保乳手术患者的一个术式选择。
[Abstract]:Objective: to investigate the clinical effect of latissimus dorsi myocutaneous flap in repairing the defect after large mammary gland tumor resection. Methods: from March 2013 to February 2017, 8 patients with large tumor volume and breast conserving operation were selected to communicate with the patients before operation and to repair the defect after resection with latissimus dorsi flap. The patients were followed up for 3 ~ 48 months (mean 20 months). Results all the 8 cases of the skin flap survived and 1 case had a serotumor in the donor area after operation. After 2 times of extraction of accumulated fluid, 1 case of epidermal necrosis at the edge of the breast flap was changed and recovered. There were no obvious complications in the rest 7 cases of postoperative radiotherapy flap without necrosis and other complications. The last follow-up of breast morphology was satisfactory. Conclusion: the operation of latissimus dorsi flap for the repair of partial defect after mastectomy can not only meet the requirements of breast preservation, but also ensure that the shape of breast is not affected after operation. It can be used as a surgical option for patients with large masses and breast conserving surgery.
【作者单位】： 南京医科大学第一附属医院整形烧伤科;南京医科大学第一附属医院乳腺外科;
【分类号】：R737.9
[Abstract]:Objective: to investigate the clinical effect of latissimus dorsi myocutaneous flap in repairing the defect after large mammary gland tumor resection. Methods: from March 2013 to February 2017, 8 patients with large tumor volume and breast conserving operation were selected to communicate with the patients before operation and to repair the defect after resection with latissimus dorsi flap. The patients were followed up for 3 ~ 48 months (mean 20 months). Results all the 8 cases of the skin flap survived and 1 case had a serotumor in the donor area after operation. After 2 times of extraction of accumulated fluid, 1 case of epidermal necrosis at the edge of the breast flap was changed and recovered. There were no obvious complications in the rest 7 cases of postoperative radiotherapy flap without necrosis and other complications. The last follow-up of breast morphology was satisfactory. Conclusion: the operation of latissimus dorsi flap for the repair of partial defect after mastectomy can not only meet the requirements of breast preservation, but also ensure that the shape of breast is not affected after operation. It can be used as a surgical option for patients with large masses and breast conserving surgery.
【作者单位】： 南京医科大学第一附属医院整形烧伤科;南京医科大学第一附属医院乳腺外科;
【分类号】：R737.9
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