侧胸壁穿支皮瓣在乳腺癌保乳手术中的应用  

Application of lateral cheastwall perforator flap in breast conserving surgery

作　　者：黎嘉伦 黄胜超 李建文 LI Jialun;HUANG Shengchao;LI Jianwen(The First Clinical Medical College,Guangdong Medical University,Guangdong Province,Zhanjiang524000,China;Department of Vascular,Thyroid and Breast Surgery,Affiliated Hospital of Guangdong Medical University,Guangdong Province,Zhanjiang524000,China)

机构地区：[1]广东医科大学第一临床医学院,广东湛江524000 [2]广东医科大学附属医院血管甲状腺乳腺外科,广东湛江524000

出　　处：《中国当代医药》2022年第28期42-46,共5页China Modern Medicine

摘　　要：乳腺癌保乳手术是治疗乳腺癌的重要手术方式,但常规保乳手术受各种因素限制,具有较大的局限性,而在常规保乳手术的基础上应用侧胸壁穿支皮瓣进行局部重建可改善其局限性,提高保乳率。针对乳腺癌保乳手术的现状,本文分析整理国内外文献,认为应用侧胸壁穿支皮瓣进行保乳手术安全可靠,且有较好的手术效果。本文从侧胸壁穿支皮瓣的发展、手术适应证及禁忌证、侧胸壁穿支皮瓣的解剖及优缺点、手术方法、手术并发症及围手术期护理等方面,对侧胸壁穿支皮瓣在乳腺癌保乳手术中的应用作一综述,旨在增加对侧胸壁穿支皮瓣临床乳腺癌手术中应用的认识。Breast-conserving surgery for breast cancer is an important surgical method for breast cancer treatment,but conventional breast-conserving surgery is limited by various factors and has great limitations.On the basis of conventional breast-conserving surgery,lateral chest wall perforator flaps are used for local reconstruction improves its limitations and improves milk conservation.In view of the current situation of breast-conserving surgery for breast cancer,this paper analyzes and organizes domestic and foreign literatures,and believes that breast-conserving surgery with lateral chest wall perforator flap is safe,reliable,and has a good surgical effect.This article reviews the application of the lateral chest wall perforator flap in breast-conserving surgery for breast cancer by the development of the lateral chest wall perforator flap,the indications and contraindications of surgery,the anatomy,advantages and disadvantages of the lateral chest wall perforator flap,surgical methods,surgical complications and perioperative care,aiming to increase the understanding of the application of contralateral chest wall perforator flaps in clinical breast cancer surgery.

关 键 词：胸外侧动脉穿支皮瓣 胸背动脉穿支皮瓣 乳腺癌 保乳手术 

分 类 号：R655.8[医药卫生—外科学]