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腹壁下动脉穿支皮瓣在双侧乳腺癌改良根治术后乳房再造中的应用
引用本文:Wang J,You L,Yan XQ. 腹壁下动脉穿支皮瓣在双侧乳腺癌改良根治术后乳房再造中的应用[J]. 中华外科杂志, 2006, 44(9): 594-596
作者姓名:Wang J  You L  Yan XQ
作者单位:1. 100021,北京,中国医学科学院中国协和医科大学肿瘤医院腹部外科
2. 100021,北京,中国医学科学院中国协和医科大学北京协和医院整形外科
摘    要:目的 总结采用腹壁下动脉穿支游离皮瓣再造双侧乳房的经验。方法 2004年6月至2005年5月,对3例双侧乳房改良根治术后的患者,应用DIEP皮瓣行二期乳房再造术。结果 3例患者6个皮瓣均成活。随访3个月以上,双侧再造乳房双侧对称,外形满意。未见腹壁疝和腹壁膨出发生。结论 选用DIEP皮瓣游离移植再造乳房,是乳腺癌改良根治术后恢复双侧乳房外形的一种理想方法。

关 键 词:乳房成形术 乳房切除术  根治性 皮瓣
收稿时间:2005-10-13
修稿时间:2005-10-13

Bilateral breast reconstruction with deep inferior epigastric perforator flap following modified radical mastectomy
Wang Jing,You Lei,Yan Xiao-qing. Bilateral breast reconstruction with deep inferior epigastric perforator flap following modified radical mastectomy[J]. Chinese Journal of Surgery, 2006, 44(9): 594-596
Authors:Wang Jing  You Lei  Yan Xiao-qing
Affiliation:Department of Abdominal Surgery, Concer Hospital, Chinese Academy of Medicine Sciences, Bering 100021, China
Abstract:OBJECTIVE: To present a method for bilateral breast reconstruction with deep inferior epigastric perforator (DIEP) flap following modified radical mastectomy. METHODS: From 2004 to 2005, three patients with bilateral modified radical mastectomy have undergone delayed bilateral breast reconstruction with deep inferior epigastric perforator flap. RESULT: The flaps in all the cases survived. Follow-up more than 3 months, postoperative abdominal wall examination didn't reveal hernia and bulging. The bilateral reconstructed breast achieved good results in shape and symmetry. Bilateral reconstructed breasts are symmetry. CONCLUSION: The procedure introduced is a reliable method for bilateral breast reconstruction.
Keywords:Mammaplasty   Mastectomy, radical   Surgical flaps
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