乳腺癌术后肌皮瓣重建术44例分析  

Immediate breast reconstruction after radical mastectomy:a report of 44 cases

作　　者：刘磊[1] 郭善禹[1] 戚晓亮[1] 朱晨芳[1] 龚鼎铨[1] 顾岩[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院普外科,上海200011

出　　处：《外科理论与实践》2010年第1期43-46,共4页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨乳腺癌术后一期乳房重建不同术式的疗效对比。方法:回顾分析本院2005年1月至2007年12月乳腺癌术后一期乳房再造44例。其中一期行背阔肌肌皮瓣移植者27例,横向腹直肌肌皮瓣移植者17例。结果:中位随访时间22.5个月,两种重建方式在客观效果评价、术后并发症和复发率方面均无统计学差异,但腹直肌肌皮瓣组的主观效果评价优于背阔肌肌皮瓣组(P=0.0462)。结论:背阔肌肌皮瓣和腹直肌肌皮瓣移植仍是目前乳房重建的常用术式。而腹直肌肌皮瓣重建与背阔肌皮瓣相比具有一定的优势。Objective To evaluate the efficacy of different methods of immediate breast reconstruction after radical mastectomy. Methods The clinical data of 44 cases, who underwent breast reconstruction between January 2005 and December 2007, were reviewed. Among which, 27 cases underwent Latissimus dorsi myocutaneous flap （LDMF）, and 17 cases underwent transverse rectus abdominis muscle flap （TRAM）. Results The median follow-up was 22.5 months. No significant differences were found between these 2 groups in terms of the surgical-related complications and postoperative recurrence. However, the TRAM flap procedure seemed to be superior to the TRAM flap procedure according to the subjective evaluation by the investigators （P=0.0462）. Conclusions Both the LDMF and the TRAM flap transplantation are the most commonly used surgical procedures for immediate breast reconstruction. Compared with LDMF, TRAM has its own advantages.

关 键 词：乳腺肿瘤 一期乳房重建 背阔肌肌皮瓣 腹直肌肌皮瓣 

分 类 号：R737.9[医药卫生—肿瘤] R730.56[医药卫生—临床医学]