扩大背阔肌肌皮瓣乳房再造术后供区并发症的探讨  

The study on donor site sequelae after autologous breast reconstruction with an extended latissimus dorsi flap

作　　者：顾建英[1] 亓发芝[1] 徐剑炜[1] 施越冬[1] 张学军[1] 杨震[1] 

机构地区：[1]复旦大学附属中山医院整形外科,上海200032

出　　处：《中华整形外科杂志》2005年第5期325-327,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨扩大背阔肌肌皮瓣再造乳房术后供区的并发症及其防治。方法自1999年5月至2004年11月,为88例患者采用扩大背阔肌肌皮瓣再造乳房后,从主观和客观两方面分析供区并发症的发生原因以及术后功能情况的评估。结果术后1例血肿,7例血清肿(其中2例有包囊形成),5例轻度皮缘表皮脱落,1例干性皮肤坏死,2例翼状肩,无感染和瘢痕增生。术后功能无明显受限,不影响日常生活。结论扩大背阔肌肌皮瓣乳房再造术后并发症主要是血清肿,严重并发症少,并可以防止或减少,患者容易接受,是值得在东方人中推广使用的乳房再造方法。Objective To study the prevention and treatment on the donor site sequelae after autologous breast reeonstruction with extended latissimus dorsi flap. Methods 88 patients received breast reconstruction with extended latissimus dorsi flap between May 1999 and Nov 2004 were concerned. We analyzed the donor site sequelae by objective and subjective evaluation and we assessed the functional condition. Results Dorsal hematoma developed in 1 patient. There are 7 patients with dorsal seromas and 2 of them developed capsules; 5 patients with mild skin exfoliate and I patient with dry skin necrosis,2 winged shoulders. No infection and no hypertrophic scars appeared in donor site. There is no significant functional limitation and no influence in daily life. Conclusions The main complication after autologous breast reconstruction with extended latissimus dorsi flap was seromas and it can be controled to decrease. There is no severe complication. It＇ s a worthy method in autologous breast reconstruction in oriental people.

关 键 词：扩大背阔肌肌皮瓣 乳房再造 并发症 扩大背阔肌肌皮瓣 供区并发症 术后功能 乳房再造 再造乳房 2004年 1999年 术后并发症 严重并发症 

分 类 号：R655.8[医药卫生—外科学]