| 改良"箭头"皮瓣法乳头乳晕再造术 |
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| 引用本文： | 李巍,穆兰花,栾杰,穆大力,郑一华,辛敏强,刘晨.改良"箭头"皮瓣法乳头乳晕再造术[J].中华整形外科杂志,2008,24(1):23-25. |
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| 作者姓名： | 李巍 穆兰花 栾杰 穆大力 郑一华 辛敏强 刘晨 |
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| 作者单位： | 中国协和医科大学中国医学科学院整形外科医院乳房中心,北京,100144 |
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| 摘 要： | 目的 介绍改良"箭头"皮瓣法乳头乳晕再造术的应用经验.方法 将"箭头"皮瓣法乳头乳晕再造术的设计经过凋整改进,为曾使用自体组织行乳房再造的患者再造乳头乳晕12例,其中2例采用改良"箭头"皮瓣法+薄中厚皮片移植乳头乳晕再造,4例采用改良"箭头"皮瓣法+自体肋软骨埋置+乳晕文身的乳头乳晕再造,6例采用"箭头"皮瓣法+乳晕文身的乳头乳晕再造.结果 再造乳头全部成活,其中2例术后1个月时再造乳头回缩完全变平,其余10例术后3个月时再造乳头回缩率约50%,跟踪随访6个月至1年,再造乳头大小稳定,与对侧基本对称.结论 本手术方法设计合理、操作简单,且无需另选供区,远期乳头突度维持也良好.
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| 关 键 词： | 乳头 外科皮瓣 |
Nipple-areolar reconstruction with the modified arrow flap |
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| LI Wei,MU Lan-hua,LUAN Jie,MU Da-li,ZHENG Yi-hua,XIN Min-qiang,LIU Chen.Nipple-areolar reconstruction with the modified arrow flap[J].Chinese Journal of Plastic Surgery,2008,24(1):23-25. |
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| Authors: | LI Wei MU Lan-hua LUAN Jie MU Da-li ZHENG Yi-hua XIN Min-qiang LIU Chen |
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| Institution: | Breast Center of Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100144, China. |
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| Abstract: | OBJECTIVE: To introduce the clinical experience of nipple-areolar reconstruction with the modified arrow flap. METHODS: The arrow flaps were modified for nipple-areolar reconstruction in 12 cases. Among them, 2 cases were treated with combined thin split-thickness skin graft; 4 cases with autologeous rib implant and tattoo; 6 cases with tattoo. RESULTS: All the reconstructed nipples were survived. The reconstructed nipples lost projection 1 month after operation in 2 cases. The other 10 cases retained 50% of the nipple projection 3 months after operation. The results were maintained with satisfactory symmetry during the follow-up period of 6 months to one year. CONCLUSIONS: The modified flap is easily performed with reasonable design and no need of donor site. The nipple projection can be maintained with good long-term effect. |
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