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胸外侧血管作为受区血管在游离皮瓣乳房再造中的应用

曾玮 晏晓青 刘岱 杨红岩 徐军

解放军医学院学报Issue(3):228-230,3.
解放军医学院学报Issue(3):228-230,3.DOI:10.3969/j.issn.2095-5227.2013.03.011

胸外侧血管作为受区血管在游离皮瓣乳房再造中的应用

Application of lateral thoracic vessels as alternative recipient vessels in free flap breast reconstruction

曾玮 1晏晓青 1刘岱 1杨红岩 1徐军1

作者信息

  • 1. 解放军总医院 整形修复科,北京 100853
  • 折叠

摘要

Abstract

Objective To study the application of lateral thoracodorsal vessels as recipient vessels in free flap breast reconstruction. Methods Ten breast cancer patients with negative sentinel lymph node biopsy underwent mastectomy with immediate free flap breast reconstruction using lateral thoracic vessels as recipient vessels in our department from January 2008 to March 2010. The operation time, flap ischemic time, complications, and cosmetic outcome were assessed. Results The operation time was 5.3-6.5(mean 5.9) h. The flap ischemic time was 55-100(mean 75) min. No severe complication occurred except partial fat necrosis in 1 patient. The patients were followed up for 4-14(mean 8.9) months with a satisfaction rate of 90%and no significant dysfunction. Conclusion Lateral thoracic vessels can be used in immediate breast reconstruction as an alternative option for thoracodorsal vessels, and especially suitable for those who do not need complete clearance of axillary lymph nodes.

关键词

外科,整形/即刻乳房再造/游离皮瓣/胸外侧血管

Key words

surgery, plastic/immediate breast reconstruction/free flap/lateral thoracic vessels

分类

医药卫生

引用本文复制引用

曾玮,晏晓青,刘岱,杨红岩,徐军..胸外侧血管作为受区血管在游离皮瓣乳房再造中的应用[J].解放军医学院学报,2013,(3):228-230,3.

解放军医学院学报

OACSTPCD

2095-5227

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