应用邻近扩张皮瓣修复局部晚期乳腺癌根治术后胸壁软组织缺损  

Application of near expanded skin flap in repairing large area defect of chest wall in advanced breast cancer operation

作　　者：陈静[1] 张晨芳[2] 周岳平[1] 梁祎诺[1] 

机构地区：[1]东莞市虎门医院普外科,广东东莞523902 [2]广州军区广州总医院普外科,广东广州510010

出　　处：《中国肿瘤外科杂志》2011年第2期69-72,共4页Chinese Journal of Surgical Oncology

摘　　要：目的探讨邻近扩张皮瓣修复局部晚期乳腺癌根治术中胸壁软组织大面积缺损的可行性,评价该法的优越性。方法在晚期乳腺癌新辅助化疗有效、肿瘤分期明显降低的前提下,在乳房周边邻近肿瘤安全区域埋植扩张器,定期向扩张器内注水,使其表面皮肤不断扩张直至达到可修复预计的皮肤缺损面积,在乳腺癌根治术的同期行局部软组织缺损修复术。结果肿瘤累及皮肤组织切除彻底,皮瓣全部成活,术后无"补丁"样外观。结论邻近扩张皮瓣是局部晚期乳腺癌切除术后胸壁软组织大面积缺损安全、有效、创伤小的修复方法。Objective To explore the feasibility and superiority of using near expanded skin flap to repair large area soft tissue defect of chest wall in advanced breast cancer operation. Methods In the patient suffered from advanced breast cancer when neoadjuvant chemotherapy was effective and neoplasm staging evidence reduced obviously, dilater was implanted in the safety zone around breast near neoplasm. Water was infused into dilater at reqular intervals to expand skin until the skin flap area reached the size enough to repair anticipated skin absent. The soft tissue absent repairing operation was performed at the same time when radical operation of mastocarcinoma was done. Results The skin implicated by cancer was excised completely, and skin flap was all alive. Conclusions The method of near expanded skin flap is safe and effective and little trauma for repairing large area soft tissue defect of chest wall in advanced breast cancer operation. It deserves to be carried out in tumor field.

关 键 词：局部晚期乳腺癌 乳腺癌根治术 邻近扩张皮瓣 胸壁大面积缺损 胸壁修复术 

分 类 号：R737.9[医药卫生—肿瘤]