乳腺癌术后胸壁复发再手术时胸壁重建方法探讨(附6例报告)  

The Methods of Re-operation and Reconstruction of Chest Wall in Dealing with Recurrence after Operation in Patients of Breast Canner

作　　者：欧阳立志[1] 肖高明[1] 周晓[1] 陈跃军[1] 周石林[1] 

机构地区：[1]湖南省肿瘤医院胸外科,410006

出　　处：《组织工程与重建外科杂志》2005年第5期249-250,共2页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨乳腺癌根治术后,或术后加放疗后,局部胸壁复发需再次手术时,形成全胸壁缺损修复及重建的相应方法。方法本组6例胸壁缺损大小,部位均不同,采用皮瓣及肌皮瓣修复、人工材料重建胸壁等手术方法。结果全胸壁缺损宜采用人工材料修补,尤以“三明治”法为优。除1例三个月后因人工材料与机体组织不相容而取出外,余均获得成功。结论应根据不同部位、不同缺损面积及术后是否放疗而采用相应修复及重建方法,既能提高手术成功率又能提升生存质量。Objective To study the corresponding methods of re-operation and reconstruction on chest wall in patients who had radical operation and radio-therapy due to breast cancer but recurred. Method There are 6 cases,which are different from the size and the location on the chest wall defect after operation. To repair and reconstruct the defect,flap, muscle flap and artificial materials were used. Results The whole defect of chest wall should be repaired with artificial materials. Some of which is called 'sandwich' is the best. Conclusion The methods of repairing the defect of chest wall depend upon the location,the size of the defect and whether radiation or not after operation.

关 键 词：乳腺癌 手术 复发 胸壁缺损 胸壁重建 

分 类 号：R737.9[医药卫生—肿瘤]