目的

探讨乳腺癌保留乳房手术后,采用部分背阔肌脂肪瓣即刻乳房重建的临床应用价值。

方法

回顾性分析甘肃省肿瘤医院2007年1月至2009年10月采用部分背阔肌脂肪瓣进行乳房重建的25 例患者的临床资料,探讨该术式的特点及临床适应证,并对其美容效果及术后并发症进行评估。

结果

25 例患者乳房重建均获成功。术后乳房美容效果:优19 例,一般5 例,差1 例。中位随访12 个月(2 ～32 个月),重建乳房形态良好,手感柔软,无明显畸形,未发生严重并发症。

结论

部分背阔肌脂肪瓣即刻乳房重建术操作简便,术后并发症较少,是改善保留乳房手术后乳房美容效果的一种较好方法。

Objective

To evaluate the clinical application value of using partial latissimus dorsi muscular flap in immediate breast reconstruction after breast-conserving operation.

Methods

From January 2007 to October 2009,25 female patients received immediate breast reconstruction with partial latissimus dorsi muscular flap after breastconserving operation in the Tumor Hospital of Gansu Province. The patients' data were reviewed and analyzed. The traits and indications of the operation were analyzed. The postoperative complications and cosmetic outcome were assessed.

Results

The operation was successful for all patients. The aesthetic outcome was excellent in 19 cases,fair in 5 cases and bad in 1 case. The median fellow up time was 12 months(2-32 months). The reconstructed breasts were demonstrated of good shape and softness. No deformity or severe complications occurred.

Conclusions

Immediate breast reconstruction with partial latissimus dorsi muscular flap has easy operation and less complications. It improves the breast aesthetic effect after breast-conserving surgery. It is a good method.