中国组织工程研究Issue(36)：5899-5904,6.DOI:10.3969/j.issn.2095-4344.2014.36.028
乳腺癌改良根治术后即刻背阔肌肌皮瓣移植重建乳房：42例分析
Immediate breast reconstruction after modified radical mastectomy and latissimus dorsi myocutaneous flap transplantation in 42 cases
摘要
Abstract
BACKGROUND:How to keep the intact shape of the breast while treating tumor has been widely concerned by more doctors and patients, breast reconstruction is introduced, developed and considered an important part in the treatment of breast tumors. OBJECTIVE:To explore the feasibility and therapeutic effects of immediate breast reconstruction after modified radical mastectomy and latissimus dorsi myocutaneous flap transplantation. METHODS:We retrospectively analyzed the clinical and pathological features of 42 breast cancer patients under immediate breast reconstruction after modified radical mastectomy with latissimus dorsi musculocuraneous flap or extended latissimus dorsi musculocuraneous flap. The procedure duration, postoperative complications and cosmetic outcome were assessed. RESULTS AND CONCLUSION:Among the involved 42 patients, 33 cases underwent modified radical mastectomy, retaining the nipple and areola of breast, 9 cases underwent modified radical mastectomy, retaining the skin of breast, 24 cases underwent breast reconstruction with latissimus dorsi musculocuraneous flap, 18 cases underwent breast reconstruction with extended latissimus dorsi musculocuraneous flap. The skin flap and reconstructed breast al survived, without severe complications. According to objective evaluation results, the cosmetic outcome was good in 39 cases and fair in 3 cases. The subjective evaluation results were good in 40 cases and fair in 2 cases. Al the patients were fol owed up for 9-41 months. One patient had bone metastasis 19 months after operation and there was no case with local recurrence. Immediate breast reconstruction after modified radical mastectomy with latissimus dorsi musculocuraneous flap is a simple and feasible operation process, with optimal effects, high security, and high survival.关键词
移植/组织构建/背阔肌皮瓣/修复重建/即刻乳腺重建/乳腺癌改良根治术Key words
breast neoplasms/mastectomy, modified radical/surgical flaps/transplantation分类
医药卫生引用本文复制引用
张敏敏,莫军扬,覃舒婷..乳腺癌改良根治术后即刻背阔肌肌皮瓣移植重建乳房：42例分析[J].中国组织工程研究,2014,(36):5899-5904,6.基金项目
广西卫生厅科技攻关项目(Z2007305)Funding:Science and Technology Project of Health Bureau of Guangxi Zhuang Autonomous Region, No. Z2007305 （Z2007305）
