胸外侧血管作为受区血管在游离皮瓣乳房再造中的应用  

Application of lateral thoracic vessels as alternative recipient vessels in free flap breast reconstruction

作　　者：曾玮[1] 晏晓青[1] 刘岱[1] 杨红岩[1] 徐军[1] 

机构地区：[1]解放军总医院整形修复科,北京100853

出　　处：《解放军医学院学报》2013年第3期228-230,共3页Academic Journal of Chinese PLA Medical School

摘　　要：目的研究胸外侧血管用作游离皮瓣乳房再造的受区血管的可能性及其应用。方法 2008年1月-2010年3月10例患乳腺癌且腋窝淋巴结活检阴性的患者在我科接受了乳腺癌改良根治,联合游离横行腹直肌肌皮瓣即刻乳房再造术,采用胸外侧血管作为受区血管进行血管吻合。对患者的手术时间、皮瓣缺血时间、并发症及美容效果进行评估。结果平均手术时间5.9(5.3～6.5)h,皮瓣平均缺血时间75(55～100)min。除1例出现部分脂肪液化外无严重并发症。平均随访时间8.9(6～14)月,患者满意率达90%,无明显功能障碍。结论胸外侧动脉作为游离皮瓣即刻乳房再造的受区血管,易于暴露,操作简单,术后效果良好,尤其适用于无需腋窝淋巴结清扫的患者。Objective To study the application of lateral thoracodorsal vessels as recipient vessels in free flap breast reconstruction. Methods Ten breast cancer patients with negative sentinel lymph node biopsy underwent mastectomy with immediate free flap breast reconstruction using lateral thoracic vessels as recipient vessels in our department from January 2008 to March 2010. The operation time, flap ischemic time, complications, and cosmetic outcome were assessed. Results The operation time was 5.3- 6.5（mean 5.9） h. The flap ischemic time was 55-100（mean 75） min. No severe complication occurred except partial fat necrosis in 1 patient. The patients were followed up for 4-14（mean 8.9） months with a satisfaction rate of 90% and no significant dysfunction. Conclusion Lateral thoracic vessels can be used in immediate breast reconstruction as an altemative option for thoracodorsal vessels, and especially suitable for those who do not need complete clearance of axillary lymph nodes.

关 键 词：外科 整形 即刻乳房再造 游离皮瓣 胸外侧血管 

分 类 号：R622.13[医药卫生—整形外科]