背阔肌肌皮瓣乳房再造同期修复淋巴结清扫术后腋窝畸形  

Latissimus Dorsi flap in Breast Reconstruction and Simultaneous-repair of Axillary Fossa Deformity after Axillary Lymph Node Dissection

作　　者：陆南杭[1] 冯自豪[1] 张勇[1] 杨燕文[1] 亓发芝[1] 

机构地区：[1]复旦大学附属中山医院整形外科,上海市200032

出　　处：《组织工程与重建外科杂志》2015年第2期72-73,103,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨背阔肌肌瓣乳房再造同期修复淋巴结清扫术后腋窝畸形的临床效果。方法自2009年至2014年,对23例单侧乳腺癌改良根治术后患者行乳房再造,在背阔肌乳房再造术中,切断背阔肌止点,将上方背阔肌肌瓣向腋窝旋转并固定,以修复腋窝凹陷畸形。结果 23例患者腋窝凹陷畸形均得到纠正,局部无臃肿,未发生皮瓣坏死。随访6-30个月,手术效果良好,患者满意。结论背阔肌肌瓣乳房再造同期修复腋窝畸形,创伤小、操作简便、效果良好,值得推广应用。Objective To explore the clinical efficacy of proximal latissimus dorsi（LD） flap in breast reconstruction and simultaneous-repair of axillary fossa deformity after axillary lymph node dissection（ALND）. Methods From 2009 to 2014,23 patients received unilateral breast reconstruction after modified radical mastectomy. During the LD mycutaneous breast reconstruction, the insertion of LD was cut off and the proximal LD was rotated to fulfill ipsilateral axillary fossa. Results The axillary contour deformity were all successfully restored, with no local bulge or flap loss. And the results were stable in the follow-up for 0.5 to 2.5 years. The patients were all satisfied. Conclusion Using proximal LD flap for breast reconstruction and simultaneous-repair of axillary fossa deformity is safe, easy and effective. And it is worthy of application.

关 键 词：背阔肌肌瓣 乳房再造 腋窝淋巴结清扫 腋窝畸形 

分 类 号：R622[医药卫生—整形外科]