| 应用腹直肌皮瓣修复乳癌放疗后放射性溃疡 |
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| 引用本文： | 马骁,金增强,杨文峰,石卫青,杨志祥.应用腹直肌皮瓣修复乳癌放疗后放射性溃疡[J].中国美容医学,2010,19(2):158-160. |
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| 作者姓名： | 马骁 金增强 杨文峰 石卫青 杨志祥 |
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| 作者单位： | 1. 解放军307医院整形外科,北京,100071
2. 解放军307医院麻醉科,北京,100071 |
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| 摘 要： | 目的：探讨腹直肌肌皮瓣在乳癌放射性治疗（以下简称放疗）后放射性溃疡修复中的应用。方法：2007年以来应用健侧单蒂腹直肌肌皮瓣转移修复乳癌放疗后放射性溃疡16例。9例采用纵行腹直肌肌皮瓣,其中3例合并臂丛神经损伤的患者为其行臂丛神经松解术并局部注射间充质干细胞;7例采用横行腹直肌肌皮瓣修复,其中4例同时行乳房再造术。结果：1例患者皮瓣远端部分坏死,清创术后采用局部皮瓣修复;2例术后出现皮瓣下渗出积液,手术予以再次清创。其余皮瓣成活良好,创面修复满意。结论：腹直肌肌皮瓣血运可靠,是修复乳癌放疗后放射性溃疡的一种较为有效、简单和安全的方法,应根据具体的病变程度、范围设计适宜的肌皮瓣转移方式。
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| 关 键 词： | 放射性溃疡 腹直肌肌皮瓣 乳腺癌 臂丛神经 间充质干细胞 |
Rectus abdominis flap repairing radiation ulcer after radiationtherapy for breast cancer |
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| MA Xiao,JIN Zeng-qiang,YANG Wen-feng,SHI Wei-qing,YANG Zhi-xiang.Rectus abdominis flap repairing radiation ulcer after radiationtherapy for breast cancer[J].Chinese Journal of Aesthetic Medicine,2010,19(2):158-160. |
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| Authors: | MA Xiao JIN Zeng-qiang YANG Wen-feng SHI Wei-qing YANG Zhi-xiang |
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| Institution: | 1.Department of Plastic Surgery/a>;2. Department of Anaesthesia/a>;307 Hospital Affiliated to Academy of Military Medical Scienses/a>;Beijing 100071/a>;China |
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| Abstract: | Objective To explore the application and significance of the rectus abdominis flap on chronical ulcer after radiationtherapy for breast cancer. Methods The uni-pedical rectus abdomis flap of uninjured side was applied to restore the radiation ulcer in16 patients. 9 cases were performed with longitudinal rectus abdominis flap. 3 cases with radiationinduced-brachial plexus nerve of them were performed with neurolysis and injected with mesenchymal stem cells(abbr. for MSC)simultaneously. 7 cases were performed... |
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| Keywords: | radiation ulcer rectus abdominis flap breast cancer brachial plexus nerve mesenchymal stem cells（MSC） |
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