【摘要】：目的 :探討背闊肌皮瓣修復(fù)較大乳腺腫物切除后缺損的臨床效果。方法 :選取2013年3月—2017年2月8例腫物體積較大,同時(shí)有保乳手術(shù)意愿的患者,術(shù)前與患者溝通,使用背闊肌皮瓣修復(fù)切除腫物后的缺損。術(shù)后予以隨訪3~48個(gè)月,平均20個(gè)月,隨訪期觀察乳房形態(tài)并詢問(wèn)患者滿意度。結(jié)果:8例皮瓣全部存活,1例術(shù)后供區(qū)出現(xiàn)血清腫予以抽取積液2次后未復(fù)發(fā)、1例乳房皮瓣邊緣表皮壞死予以換藥后恢復(fù),其余未出現(xiàn)明顯并發(fā)癥。7例術(shù)后放療皮瓣未出現(xiàn)壞死等并發(fā)癥,末次隨訪乳房形態(tài)良好,均滿意。結(jié)論:背闊肌皮瓣修復(fù)乳腺腫物切除后部分缺損的手術(shù)方式既可達(dá)到患者的保乳要求,又能保證術(shù)后乳房形態(tài)不受影響,可作為腫塊較大同時(shí)適合行保乳手術(shù)患者的一個(gè)術(shù)式選擇。
[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.
【作者單位】： 南京醫(yī)科大學(xué)第一附屬醫(yī)院整形燒傷科;南京醫(yī)科大學(xué)第一附屬醫(yī)院乳腺外科;
【分類(lèi)號(hào)】：R737.9

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