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背阔肌肌瓣在双侧乳腺皮下切除后即时隆乳六例
引用本文:韩炳生,张雪鹏,朱红成,张文杰.背阔肌肌瓣在双侧乳腺皮下切除后即时隆乳六例[J].中华整形外科杂志,2001,17(4):212-214.
作者姓名:韩炳生  张雪鹏  朱红成  张文杰
作者单位:华北煤炭医学院附属医院乳腺科,
摘    要: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。

关 键 词:乳腺不典型增生  乳腺  背阔肌肌瓣
修稿时间:1999年11月12

Immediate breast reconstruction using a latissimus dorsi flap after bilateral subcutaneous mastectomy
HAN Bingsheng,ZHANG Xuepeng,ZHU Hongcheng,et al..Immediate breast reconstruction using a latissimus dorsi flap after bilateral subcutaneous mastectomy[J].Chinese Journal of Plastic Surgery,2001,17(4):212-214.
Authors:HAN Bingsheng  ZHANG Xuepeng  ZHU Hongcheng  
Institution:HAN Bingsheng,ZHANG Xuepeng,ZHU Hongcheng,et al. Breast Department,Affiliated Hospital of The North China Coal Mining Medical College,Tangshan 063000,China
Abstract: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.
Keywords:Mammary atypical hyperplasia  Subcutaneous mastectomy  Latissimus dorsi flap  Breast reconstruction
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