[游离腹壁下动脉穿支皮瓣技术用于改良根治性乳房切除术后即刻乳房重建]
[Free deep inferior epigastric artery perforator flap techniques for the immediate post modified radial mastectomy reconstruction].
作者信息
Zheng Min, Lin Hai-duo, Jiang Zheng-cai, Yang Jing-quan
机构信息
Department of Breast Surgery, Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325027, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2008 Apr 15;88(15):1069-70.
OBJECTIVE
To discuss the feasibility and method of immediate breast reconstruction right after modified radical mastectomy in early breast carcinoma patients.
METHODS
Deep inferior epigastric artery perforation flaps were immediately applied on patients to reconstruct the breast after the skin-sparing mastectomy. The breasts were shaped after the deep inferior epigastric artery and vein were anastomosed to the thoracodorsal artery and vein.
RESULTS
In 10 cases of breast reconstruction by DIEP flaps since 2005, there were completely survival in 8 flaps, distal skin necrosis in 1 flap, adiponecrosis in 1 flap. With the follow-up of 9-28 months, the reconstructed breasts were well-shaped and there were no abdominal complication in dnor sites. Ninety percent patients were satisfied with the results from the good to the best level.
CONCLUSION
Most patients were satisfied with the results of mastectomy reconstruction.
目的
探讨早期乳腺癌患者改良根治术后即刻乳房重建的可行性及方法。
方法
采用腹壁下动脉穿支皮瓣，在保留皮肤的乳房切除术后即刻应用于患者进行乳房重建。将腹壁下动静脉与胸背动静脉吻合后对乳房进行塑形。
结果
2005年以来采用腹壁下动脉穿支皮瓣进行乳房重建10例，皮瓣完全成活8例，远端皮肤坏死1例，脂肪坏死1例。随访9～28个月，重建乳房外形良好，供区无腹部并发症。90%的患者对结果满意，评价从良好到最佳。
结论
大多数患者对乳房切除术后重建的结果满意。
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