Gu Jian-Ying, Qi Fa-Zhi, Xu Jian-Wei, Shi Yue-Dong, Zhang Xue-Jun, Yang Zhen
Department of Plastic Surgery, Zhong Shan Hospital, Fu Dan University, Shanghai 200032, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2005 Sep;21(5):325-7.
To study the prevention and treatment on the donor site sequelae after autologous breast reconstruction with extended latissimus dorsi flap.
88 patients received breast reconstruction with extended latissimus dorsi flap between May 1999 and Nov 2004 were concerned. We analyzed the donor site sequelae by objective and subjective evaluation and we assessed the functional condition. Results Dorsal hematoma developed in 1 patient. There are 7 patients with dorsal seromas and 2 of them developed capsules; 5 patients with mild skin exfoliate and 1 patient with dry skin necrosis, 2 winged shoulders. No infection and no hypertrophic scars appeared in donor site. There is no significant functional limitation and no influence in daily life.
The main complication after autologous breast reconstruction with extended latissimus dorsi flap was seromas and it can be controlled to decrease. There is no severe complication. It's a worthy method in autologous breast reconstruction in oriental people.
探讨背阔肌肌皮瓣乳房再造术后供区并发症的防治方法。
回顾性分析1999年5月至2004年11月间88例行背阔肌肌皮瓣乳房再造术患者的临床资料，对供区并发症进行客观和主观评价，并评估其功能状况。结果1例出现供区血肿，7例出现血清肿，其中2例形成包膜；5例供区皮肤轻度脱屑，1例干性皮肤坏死，2例出现翼状肩胛。供区无感染及增生性瘢痕形成，功能无明显受限，对日常生活无明显影响。
背阔肌肌皮瓣乳房再造术后主要并发症为血清肿，通过相应措施可得到控制，未出现严重并发症，是一种值得在东方人群中应用的自体乳房再造方法。
