【摘要】：目的 :探討背闊肌皮瓣修復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,同時有保乳手術意愿的患者,術前與患者溝通,使用背闊肌皮瓣修復切除腫物后的缺損。術后予以隨訪3~48個月,平均20個月,隨訪期觀察乳房形態(tài)并詢問患者滿意度。結果:8例皮瓣全部存活,1例術后供區(qū)出現(xiàn)血清腫予以抽取積液2次后未復發(fā)、1例乳房皮瓣邊緣表皮壞死予以換藥后恢復,其余未出現(xiàn)明顯并發(fā)癥。7例術后放療皮瓣未出現(xiàn)壞死等并發(fā)癥,末次隨訪乳房形態(tài)良好,均滿意。結論:背闊肌皮瓣修復乳腺腫物切除后部分缺損的手術方式既可達到患者的保乳要求,又能保證術后乳房形態(tài)不受影響,可作為腫塊較大同時適合行保乳手術患者的一個術式選擇。
[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)科大學第一附屬醫(yī)院整形燒傷科;南京醫(yī)科大學第一附屬醫(yī)院乳腺外科;
【分類號】：R737.9

【相似文獻】

相關期刊論文 前10條

1 黃韜,柯茂林;保乳手術 魚和熊掌可以兼得嗎?——談乳腺癌保乳手術的選擇[J];健康之路;2005年07期

2 劉新杰 ,周冬仙 ,付建民;對保乳手術的幾點認識[J];中國醫(yī)師雜志;2002年07期

3 張勇,秦賢舉,倪旭東,吳錚,陳問潭,趙大方,李文如,張華,成劍文;乳癌保乳手術適應證的探討[J];中國臨床醫(yī)學;2003年05期

4 李p樥，

本文編號：2168973