背阔肌肌皮瓣移转治疗乳癌根治术后上肢淋巴水肿

目的　减轻乳癌根治术及放疗后上肢淋巴水肿。方法　采用带蒂背阔肌肌皮瓣移转一期完成治疗乳癌根治术加根治量放疗后所致上肢严重淋巴水肿伴胸壁放射性溃疡、上肢上举受限 12例。结果　肌皮瓣成活良好 ,上肢淋巴水肿明显减轻 (消肿率达 5 1%～ 67% ) ,上举功能明显改善 (达 10 0～ 110度 ) ,随访 1～ 3年未见复发。结论　本手术简单、省时、安全、有效 ,不仅能减轻肢体淋巴水肿 ,还可修复胸壁塌陷畸形 ,解除腋部瘢痕牵扯 ,改善上肢上举功能 ,因此 ,不失为一种可行的治疗乳癌根治术后继发上肢淋巴水肿的方法。

Transposition of the pedicled latissimus dorsi myocutaneous flap for the treatment of lymphedema of the upper limb after radical mastectomy

Objective The clinical study was to improve the surgical treatment to upper limb lymphedema.Methods The author treated 12 cases of severe lymphedenia of the upper limb using the pedicled latissimus dorsi myocutaneous flap. The treatment was completed in one stage.Results The results were satisfactory in all the cases during the follow up period of one to three years.No recurrence occurred.Conclusions The method is a good treatment to secondary lymphedema of the upper limb after radical mastectomy as it possesses the advantages of easiness to perform,short operation time,reliable effects,very safety and accordance to physiology.;