扩大背阔肌肌皮瓣乳房再造  

Breast Reconstruction With Extended Latissimus Dorsal Myocutaneous Flap

作　　者：亓发芝[1] 陈君雪[2] 迪根红[2] 顾建英[1] 施越冬[1] 张学军[1] 

机构地区：[1]复旦大学医学院附属中山医院整形外科,上海市200032 [2]复旦大学医学院附属中山医院普外科,上海市200032

出　　处：《组织工程与重建外科杂志》2006年第1期28-30,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的介绍单纯应用扩大背阔肌肌皮瓣进行乳房再造方法。方法将背阔肌周围脂肪组织分为5个区,切取背阔肌及周围脂肪组织,不应用乳房假体,进行即时或后期乳房再造。结果应用该方法再造乳房95例,其中保留乳头乳晕改良根治术后即时再造24例,保留皮肤改良根治术后即时再造36例,改良根治术后即时再造26例,后期再造9例,其中1例为改良根治术后,其他8例为改良根治术后,再造乳房均形态良好。术后6例乳头部分坏死;14例胸部皮肤表皮脱落,自行愈合;2例背部供区部分坏死;背部顽固性血清肿2例,再次手术后愈合。结论扩大背阔肌肌皮瓣乳房再造安全有效,再造乳房形态良好,尤其适用于中、小乳房的乳房再造。Objective This study is to introduce our experience about immediate and delayed breast reconstruction using extended latissimus dorsal myocutaneous flap without breast implant. Methods The fatty tissue around the latissimus dorsal muscle was classified into 5 zones. Breast reconstruction was performed with latissimus dorsal myocutaneous flap and surrounding fat tissue, without using breast implant. Results Breast reconstruction was performed in 95 patients with extended latissimus dorsal myocutaneous flap. The morphology of reconstructed breasts was excellent. Conclusion Breast reconstruction with extended latissimus dorsal myocutaneous flap is safe and effective especially suitable to breast reconstruction with small and medium size.

关 键 词：扩大背阔肌肌皮瓣 根治术后 乳房再造 再造乳房 脂肪组织 应用 方法 自行愈合 乳房形态 术后愈合 乳头乳晕 乳房假体 皮肤 坏死 表皮脱落 背部 血清肿 小乳房 顽固性 乳头部 

分 类 号：R6[医药卫生—外科学]