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乳腺癌根治术后带蒂背阔肌皮瓣移植一期乳房再造
引用本文:戴谦诚,龚鼎铨. 乳腺癌根治术后带蒂背阔肌皮瓣移植一期乳房再造[J]. 中国美容医学, 2011, 20(11): 1686-1687
作者姓名:戴谦诚  龚鼎铨
作者单位:上海交通大学医学院附属第九人民医院普外科 上海200011
摘    要:目的:总结应用带蒂背阔肌皮瓣移植进行乳腺癌改良根治术后Ⅰ期乳房再造的方法与疗效。方法:自2000年起,用带蒂背阔肌皮瓣移植方法对中青年妇女乳腺癌改良根治术后行Ⅰ期乳房再造38例。结果:全部病例的皮瓣及15例同时保留乳头病例的乳头均存活,无积液、感染、坏死等并发症,再造乳房外形美观。结论:用带蒂背阔肌皮瓣移植行乳腺癌术后Ⅰ期乳房再造是乳腺癌改良根治术后恢复乳房外形的一种理想的方法。

关 键 词:乳腺癌改良根治术  带蒂背阔肌皮瓣  Ⅰ期乳房再造  乳房假体

Pediculated latissimus dorsi muscular flap with mama prosthesis reconstructed the breast following modified radical mastectomy
DAI Qian-cheng,GONG Ding-quan. Pediculated latissimus dorsi muscular flap with mama prosthesis reconstructed the breast following modified radical mastectomy[J]. Chinese Journal of Aesthetic Medicine, 2011, 20(11): 1686-1687
Authors:DAI Qian-cheng  GONG Ding-quan
Affiliation:(Department of Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiaotong University School of Medical,Shanghai 200011,China)
Abstract:Objective To sum up the experience in immediate construction of the breast with pediculated latissims and mamma prosthesis following modified radical mastectomy.Methods Since 2000,38 patients(women,37~48 years old) were treated in immediate construction of the breast following dorsi muscular floprosthesis.Results The flaps,including the nipples in 15 treatments simultaneously requiring the preservation of papilla,survived.No infection,necrosis and fluid accumulation occurred.Conclusions Pediculated latissimus dorsi musculatr flap,plus mamma prosthesis,is the idea restore the mamma-shape after primary modified radical mastectomy.
Keywords:modified radical mastectomy  pediculated latissimus dorsi flap  primary mamma prosthesis  immediate reconstruction
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