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背阔肌皮瓣联合假体即刻乳房重建术的应用

钱琦 朱玉兰 朱春富

实用临床医药杂志2013,Vol.17Issue(9):64-66,3.
实用临床医药杂志2013,Vol.17Issue(9):64-66,3.DOI:10.7619/jcmp.201309020

背阔肌皮瓣联合假体即刻乳房重建术的应用

Immediate breast reconstruction using the latissimus dorsi flap combined with implants for breast cancer

钱琦 1朱玉兰 1朱春富1

作者信息

  • 1. 南京医科大学附属常州市第二人民医院,江苏常州,213000
  • 折叠

摘要

Abstract

Objective To introduce the clinical experience of immediate breast reconstruction with the latissimus dorsi flap combined with implants following mastectomy in patients with breast cancer.Methods Twenty-six patients with early breast cancer in our department who underwent immediate breast reconstruction with the latissimus domi flap combined with implants following mastectomy were included in the study.The operative technical details,postoperative complications and patient satisfaction were analyzed retrospectively.Results Donor site seroma occurred in 6 patients(23.1%),which disappeared after repeated aspiration and pressure dressing.Capsular contracture occurred in 1 patient (3.85 %),which was improved by reoperation.There was no flap necrosis and no wound infection.Follow-up period ranged from 3 to 44 months (average 32.3 ± 7.02).Cosmetic outcome was judged excellent and good in 84.6 %.Conclusion In selected patients with breast cancer,the latissimus dorsi flap combined with implants is a reliable method with less complication and good operation effect for immediate breast reconstruction.

关键词

乳腺肿瘤/即刻乳房重建/背阔肌皮瓣/乳房植入物

Key words

breast neoplasm/immediate breast reconstruction/latissimus dorsi flap/breast implant

分类

医药卫生

引用本文复制引用

钱琦,朱玉兰,朱春富..背阔肌皮瓣联合假体即刻乳房重建术的应用[J].实用临床医药杂志,2013,17(9):64-66,3.

实用临床医药杂志

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