背阔肌肌瓣在双侧乳腺皮下切除后即时隆乳六例

目的：探讨双侧乳腺重度增生时，既能彻底切除，防止癌变，又能保持乳房外形的术式。方法：经腋下沿腋后线切口，行双侧乳腺皮下切除术，用带神经血管蒂的背阔肌肌瓣移转即时行隆乳。结果：1995－1998年治疗6例，术后双侧乳房对称，外形美观，手感良好。结论：该术式操作简便易行，切口隐蔽，组织瓣量大，血供好，外形美观，供区无明显后遗畸形，不影响功能。

Immediate breast reconstruction using a latissimus dorsi flap after bilateral subcutaneous mastectomy

Objective To design a new operation for bilateral mammary atypical hyperplasia, which can not only prevent breast cancer by mammary gland ectomy, but also keep the breast contour. Methods\ Through the incision along the posterior axillary line, breast reconstruction using latissimus dorsi flap with fat tissue and the neurovascular stalk were performed immediate after bilateral subcutaneous mastectomy. Results\ 6 patients accepted the treatment. In all cases, the reconstructed breasts were symmetrical with beautiful contour, soft feeling and no sequela. Conclusions\ This operation has many advantages: concealed incision, beautiful contour of the breast, good blood supply of the flap, no obvious deformity or disorder of the latissimus dorsi, simple and convenient operation.