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背阔肌肌皮瓣在乳房修复和重建中的应用
引用本文:邹天宁,唐一吟,陈文林,张季,张勇,周绍强.背阔肌肌皮瓣在乳房修复和重建中的应用[J].昆明医学院学报,2009,30(11):72-75,97.
作者姓名:邹天宁  唐一吟  陈文林  张季  张勇  周绍强
作者单位:昆明医学院第三附属医院,云南省肿瘤医院云南省乳腺癌临床研究中心,云南昆明,650118
摘    要:目的通过背阔肌肌皮瓣在乳腺癌术后Ⅰ期乳房修复和重建的研究,探讨适合中国女性乳腺癌患者的乳房再造方式.方法20例患者采用背阔肌肌皮瓣带蒂转移乳房再造;11例联合假体置入乳房再造.结果再造手术均取得成功,患者满意度高,可接受度100%.结论乳腺癌术后Ⅰ期背阔肌肌皮瓣乳房再造能同时满足肿瘤治疗和形体美容的要求,提高患者生活质量,背阔肌肌皮瓣再造对中国女性适用性好,值得推广.

关 键 词:乳腺癌  改良根治术  即刻乳房再造  背阔肌肌皮瓣

The Application of Latissimus Dorsi Musculocutaneous Flap in the Repair and Reconstruction of the Breast
ZOU Tian-ning,TANG Yi-yin,CHEN Wen-lin,ZHANG Ji,ZHANG Yong,ZHOU Shao-qiang.The Application of Latissimus Dorsi Musculocutaneous Flap in the Repair and Reconstruction of the Breast[J].Journal of Kunming Medical College,2009,30(11):72-75,97.
Authors:ZOU Tian-ning  TANG Yi-yin  CHEN Wen-lin  ZHANG Ji  ZHANG Yong  ZHOU Shao-qiang
Institution:(Breast Cancer Research Center,The 3rd Affiliated Hospital of Kunming Medical University,Yunnan Tumor Hospital,Kunming Yunnan 650118,China)
Abstract:Objective Through the study of the latissimus dorsi musculocutaneous flap using in breast repair and reconstruction following breast-conserving surgery,to investigate the reconstruction methods suitable for Chinese women patients with breast cancer.Methods 20 patients recieved transferred pedicled latissimus dorsi musculocutaneous flap for breast reconstruction;11 cases of breast reconstruction used prosthesis implantation.Results The breast reconstruction operations were successful,the patients' satisfaction was high,the acceptable rate was 100%.Conclusions The latissimus dorsi musculocutaneous flap using in breast repair and reconstruction following breast-conserving surgery at the same time can meet the cancer treatment and physical cosmetology requirements,improve the life quality of patients.The breast reconstruction using latissimus dorsi musculocutaneous flap has a high applicability for Chinese women,and deserve to be popularized.
Keywords:Breast cancer  Modified radical mastectomy  Immediate breast reconstruction  Latissimus dorsi musculocutaneous flap
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