改良根治性乳房切除术后采用腹壁下动脉穿支皮瓣进行即刻乳房重建
[Immediate breast reconstruction with DIEP flap following modified radical mastectomy].
作者信息
Wang Jing, Wang Xiang, Yan Xiao-qing, You Lei
机构信息
Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2005 Dec 14;85(47):3359-61.
OBJECTIVE
To review the experience in immediate breast reconstruction with DIEP flap following modified radical mastectomy.
METHODS
From 2003 to 2005, eight patients with breast cancer have undergone modified radical mastectomy and immediate breast reconstruction with deep inferior epigastric perforator flap. Six patients had stage I disease and 2 patients had stage II disease.
RESULTS
The flaps in all the cases survived. Two occurred minor complications. A small part of venous congestion occurred in one flap. One patient had hematoma under the flap. Follow up more than 6 months, no evidence of recurrence and metastasis occurs. Postoperative abdominal wall examination didn't reveal and hernia and bulging. Patient satisfaction with the reconstructed breast was rated high. The reconstructed breast achieved good results in shape, colour and symmetry.
CONCLUSION
The procedure introduced is an ideal method for breast reconstruction after modified radical mastectomy.
目的
回顾改良根治性乳房切除术后采用腹壁下深动脉穿支皮瓣（DIEP瓣）即刻乳房重建的经验。
方法
2003年至2005年，8例乳腺癌患者接受了改良根治性乳房切除术并采用腹壁下深动脉穿支皮瓣进行即刻乳房重建。6例为Ⅰ期疾病，2例为Ⅱ期疾病。
结果
所有病例皮瓣均存活。2例出现轻微并发症。1例皮瓣发生小部分静脉淤血。1例患者皮瓣下出现血肿。随访6个月以上，无复发和转移迹象。术后腹壁检查未发现疝和膨出。患者对重建乳房的满意度较高。重建乳房在形状、颜色和对称性方面取得了良好效果。
结论
所介绍的手术方法是改良根治性乳房切除术后乳房重建的理想方法。
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