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背阔肌瓣联合假体即刻乳房重建术优化乳房外形
引用本文:钱琦,朱玉兰,朱春富. 背阔肌瓣联合假体即刻乳房重建术优化乳房外形[J]. 中国医药指南, 2014, 0(22): 19-20
作者姓名:钱琦  朱玉兰  朱春富
作者单位:南京医科大学附属常州市第二人民医院
摘    要:目的研究背阔肌瓣转移联合假体置入即刻乳房重建术在乳腺癌改良根治术患者乳房外形修复中的作用。方法分析20例背阔肌瓣转移联合假体置入即刻乳房重建术患者的临床资料,并与18例单纯假体置入即刻乳房重建术患者的临床资料进行对照研究。结果背阔肌瓣转移联合假体置入即刻乳房重建术修复乳房外形的效果显著优于单纯假体置入术(P=0.042),两组在并发症发生率等方面无显著差异(P>0.05)。结论对于乳腺癌改良根治术假体置入即刻乳房重建患者,选择背阔肌瓣转移覆盖假体,能使术后伤口愈合更佳,乳房外形更加美观,患者满意度更高。

关 键 词:乳腺肿瘤  背阔肌瓣  乳房置入物

Immediate Breast Reconstruction Using the Latissimus Dorsi Flap Combined with Breast Implant Optimizes Breast Shape
QIAN Qi,ZHU Yu-lan,ZHU Chun-fu. Immediate Breast Reconstruction Using the Latissimus Dorsi Flap Combined with Breast Implant Optimizes Breast Shape[J]. Guide of China Medicine, 2014, 0(22): 19-20
Authors:QIAN Qi  ZHU Yu-lan  ZHU Chun-fu
Affiliation:(Affiliated Changzhou Second People's Hospital, Nanjing Medical Univercity, Changzhou 213000, China)
Abstract:Objective To study the effect of immediate breast reconstruction using the latissimus dorsi flap combined with breast implant on breast shape restoration in patients undergoing modified radical mastectomy. Methods A total of 38 patients with early breast cancer were divided into two groups, Experimental Group (n=20) and Control Group (n=218). All the patients accepted modified radical mastectomy. In Experimental Group, patients underwent immediate breast reconstruction with the latissimus domi flap combined with implants following mastectomy. In Control Group, patients underwent immediate breast reconstruction with breast implant only. Clinical data were collected and analyzed,retrospectively. Results The effect of breast shape optimization in Experimental Group was markedly superior to Control Group (P=0.042).There was no statistical difference in postoperative complications between the two groups. Conclusion Latissimus dorsi flap combined with implants is a reliable method which make the patients more aestheically pleasing and more satisfied for immediate breast reconstruction.
Keywords:Breast neoplasm  Latissimus dorsi flap  Breast implant
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