实用医学杂志2026，Vol.42Issue(9)：1517-1524,8.DOI:10.3969/j.issn.1006-5725.2026.09.005
胸外侧动脉穿支皮瓣与部分背阔肌皮瓣在保乳整形中的应用
Comparison of lateral thoracic artery perforator flap and partial latissimus dorsi myocutaneous flap in breast-conserving reconstruction
摘要
Abstract
Objective To compare the clinical outcomes of the partial latissimus dorsi musculocutaneous(pLD-MC)flap and the lateral thoracic artery perforator(LTAP)flap in volume replacement breast-conserving sur-gery.Methods A total of 49 patients who underwent volume replacement breast-conserving surgery in the Depart-ment of Breast Surgery at the Affiliated Tumor Hospital of Guangxi Medical University between July 2020 and July 2024 were included in this study.Based on the type of flap used,the patients were divided into an LTAP group(n=29)and a pLD-MC group(n=20).Postoperative complication rates,operative time,and BREAST-Q scores were compared between the two groups.Disease-free survival(DFS)and overall survival(OS)was analyzed using the Log-rank test.Results The operative time in the LTAP group was significantly shorter than that in the pLD-MC group(P＜0.05).Postoperative BREAST-Q scores showed that the LTAP group achieved significantly higher scores in physical well-being and satisfaction with surgical outcomes compared to the pLD-MC group(P＜0.05).The complication rate was 3.4％(1/29)in the LTAP group and 10.0％(2/20)in the pLD-MC group,with no sta-tistically significant difference between the two groups(P＞0.05).Analysis of DFS and OS also revealed no statis-tically significant differences between the groups(P＞0.05).Conclusion For tumors located in the outer quad-rant of the breast,when the lateral thoracic artery perforator is anatomically identifiable and the lateral chest wall can provide sufficient tissue volume,the LTAP flap is associated with a shorter operative time and superior physi-cal well-being scores postoperatively,while maintaining comparable safety profiles to the pLD-MC flap.Therefore,the LTAP flap may be considered the preferred option for volume replacement in breast-conserving surgery.关键词
乳腺癌/保乳整形术/胸外侧动脉穿支皮瓣/部分背阔肌皮瓣/BREAST-QKey words
breast cancer/breast-conserving plastic surgery/lateral thoracic artery perforator flap/partial latissimus dorsi flap/BREAST-Q分类
医药卫生引用本文复制引用
练斌,黄彦琳,黄诗婷,谭晓玲,何绮雯,欧阳燕,黄真,覃庆洪..胸外侧动脉穿支皮瓣与部分背阔肌皮瓣在保乳整形中的应用[J].实用医学杂志,2026,42(9):1517-1524,8.基金项目
广西壮族自治区卫生健康委员会自筹课题项目(编号:Z20210117) （编号:Z20210117）
广西中青年教师基础能力提升项目(编号:2025KY0124) （编号:2025KY0124）
大学生创业创新训练计划项目(编号:X202410598380,X202410598383,X202510598250) （编号:X202410598380,X202410598383,X202510598250）
广西高校乳腺癌诊治研究重点实验室 （）
