乳腺癌保乳术后背阔肌微肌瓣转移乳房整形  

The use of a latissimus dorsi miniflap for immediate correction of the deformity resulting from breast conservation surgery

作　　者：刘鹏熙[1] 钟少文[1] 陈前军[1] 王一安[1] 赖熙雯[1] 林毅[1] 

机构地区：[1]广东省中医院乳腺科,广州510120

出　　处：《中华乳腺病杂志（电子版）》2007年第1期16-18,共3页Chinese Journal of Breast Disease(Electronic Edition)

摘　　要：目的保乳手术已广泛应用于早期乳腺癌的治疗,但在切除足够的范围后如不进行修复,常可出现局部凹陷畸形,影响美感。采用背阔肌微肌瓣转移的方法进行乳房整形,修复缺损。方法 2003年7月至2006年4月,32例新诊断为T1～2N0～1M0期原发性乳腺癌患者,在局部扩大切除、冰冻病理切片证实边缘无癌残留、腋淋巴结清扫后,行背阔肌带蒂微肌瓣转移修补缺损,美容效果按Harris标准进行评价。结果术后无明显并发症,第5～8天拔出引流管,住院时间为10～14 d。评价效果:12例为优秀,16例良好,6例尚可,无外形差的病例。结论带蒂的背阔肌微肌瓣转移乳房整形对外上、近外下和内上象限的缺损效果满意。可耐受放疗,不影响乳腺癌的综合治疗。Objective Breast conservation surgery is now widely accepted as the treatment of early breast cancer. An adequate tumor excision may result in a poor cosmetic result after breast conservation surgery. A latissimus dorsi miniflap was used for reconstruction of breast. Methods From July 2003 to April 2006, thirty-two new cases of breast cancer patients aged 33 - 57 years old underwent wide local excision reconstructed with latissimus dorsi miniflap procedure. Brcast aesthetic outcome were evaluated with Harris standards. Results There were no major postoperative complications, with a range of inpatient stay of 10 - 14 days. The aesthetic outcome was excellent in twelve cases, good in fourteen, fair in six and no poor case of the patients. Conclusions The use of an immediate latissimus dorsi miniflap may correct the deformity and achieve a satisfactory cosmetic and functional results after breast conservation surgery. At the present experience shows the procedure is not compromised to oncological adjuvant treatment.

关 键 词：保乳术 背阔肌微肌瓣转移 乳房整形 乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]