前锯肌瓣联合两步法修复乳房外侧畸形的效果  

Application of serratus anterior muscle flap transfer in lateral part deformity of expander to implant breast reconstruction

作　　者：李荷欢[1] 贺佳妮[1] 刘晓颖[1] 李怒[1] 金锋[2] 韩思源[1] Li Hehuan;He Jiani;Liu Xiaoying;Li Nu;Jin Feng;Han Siyuan(Department of Breast Reconstructive Surgery,the First Hospital of China Medical University,Shenyang 110001,China;Department of Breast Surgery,the First Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院乳房修复重建外科,沈阳110001 [2]中国医科大学附属第一医院乳腺外科,沈阳110001

出　　处：《中华医学美学美容杂志》2019年第5期396-398,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨前锯肌瓣联合两步法修复乳房外侧畸形的临床意义。方法2015年9月至2017年8月,中国医科大学附属第一医院乳房修复重建外科对6例女性患者(年龄35~49岁,平均42岁)应用两步法硅凝胶乳房假体置换扩张器再造乳房,术后出现外侧乳房假体轮廓暴露和透光,用部分前锯肌瓣翻转进行乳房畸形的修复术。随访2~25个月,中位时间12个月。结果术后6例患者切口全部一期愈合,未出现感染、血肿、血清肿、切口裂开等并发症。6例患者对术后外形均满意。2例包膜挛缩患者,经手术后得到矫正,无复发。结论将前锯肌瓣用于两步法修复乳房外侧畸形是一种安全、简单的方法,能够获得较满意效果。Objective To explore the application and clinical significance of serratus anterior muscle flap transfer in correction of lateral part deformity of expander to implant breast reconstruction.Methods Six patients who received expander-to-implant breast reconstruction were enrolled.After silicone implant replacing the tissue expander,all 6 cases represented lateral part deformity of the reconstructed breast.The turn-over serratus anterior muscle flap was used as lateral coverage of the deformed breast.Results Of all patients(6 cases),breast aesthetics were improved with incisions well-healed.There were no complications such as capsular contracture,hematoma,infection or insicional dehiscence.Conclusions Serratus anterior muscle flap can provide sufficient lateral coverage for expander-to-implant breast reconstruction.It is safe,simple and cheap to apply in improving the aesthetics of breast reconstruction.

关 键 词：乳房成形术 修复外科手术 乳房再造 畸形 前锯肌瓣 

分 类 号：R73[医药卫生—肿瘤]