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应用扩展的胸腹壁皮瓣再造后行扩张器/假体乳房再造：1 例报告。

Expander/Implant breast reconstruction after reconstruction using an extended cutaneous thoracoabdominal flap: a case report.

机构信息

Division of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, Rome, Italy.

出版信息

J Breast Cancer. 2013 Dec;16(4):438-41. doi: 10.4048/jbc.2013.16.4.438. Epub 2013 Dec 31.

DOI:10.4048/jbc.2013.16.4.438
PMID:24454467
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3893347/
Abstract

Many flaps have been described and are being used in the reconstruction of extensive tissue defects in the thoracic wall. The extended cutaneous thoracoabdominal flap, described in 2006, is an excellent option for chest wall reconstruction in patients with advanced breast cancer, being associated with a low morbidity rate and good functional results. The main disadvantage of this technique is the poor cosmetic outcome and the complete absence of a breast crease. We present the first case of a two-stage heterologous breast reconstruction after reconstruction using an extended cutaneous thoracoabdominal flap.

摘要

许多皮瓣已被描述并应用于胸壁大面积组织缺损的重建。2006 年描述的扩展式胸腹皮瓣是晚期乳腺癌患者胸壁重建的绝佳选择，其具有低发病率和良好的功能结果。该技术的主要缺点是美容效果差且完全没有乳房折痕。我们报告了首例使用扩展式胸腹皮瓣重建后进行两阶段同种异体乳房重建的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d626/3893347/84063f401d6f/jbc-16-438-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d626/3893347/f942c1a04495/jbc-16-438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d626/3893347/40cc1521a129/jbc-16-438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d626/3893347/170fa4289031/jbc-16-438-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d626/3893347/84063f401d6f/jbc-16-438-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d626/3893347/f942c1a04495/jbc-16-438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d626/3893347/40cc1521a129/jbc-16-438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d626/3893347/170fa4289031/jbc-16-438-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d626/3893347/84063f401d6f/jbc-16-438-g004.jpg

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本文引用的文献

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Outcomes in autologous breast reconstruction.自体乳房重建的结果。
J Am Coll Surg. 2013 Jul;217(1):172-4. doi: 10.1016/j.jamcollsurg.2013.04.021.
2
Breast reconstruction modality outcome study: a comparison of expander/implants and free flaps in select patients.乳房重建方式结果研究：选择患者中扩张器/植入物与游离皮瓣的比较。
Plast Reconstr Surg. 2013 May;131(5):928-934. doi: 10.1097/PRS.0b013e3182865977.
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Breast reconstruction after surgery for breast cancer.乳腺癌手术后的乳房重建。
N Engl J Med. 2008 Oct 9;359(15):1590-601. doi: 10.1056/NEJMct0802899.
4
Extended cutaneous 'thoracoabdominal' flap for large chest wall reconstruction.用于大面积胸壁重建的延长型皮肤“胸腹”皮瓣
Ann Plast Surg. 2006 Aug;57(2):177-83. doi: 10.1097/01.sap.0000215253.54577.28.
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A reconstructive algorithm for plastic surgery following extensive chest wall resection.一种用于广泛胸壁切除术后整形手术的重建算法。
Br J Plast Surg. 2004 Jun;57(4):295-302. doi: 10.1016/j.bjps.2004.02.004.
6
Reconstruction of complex oncologic chest wall defects: a 10-year experience.复杂肿瘤性胸壁缺损的重建：十年经验
Ann Plast Surg. 2004 May;52(5):471-9; discussion 479. doi: 10.1097/01.sap.0000122653.09641.f8.
7
Treatment and outcome of patients with chest wall recurrence after mastectomy and breast reconstruction.乳房切除术和乳房重建术后胸壁复发患者的治疗及预后
Am J Surg. 2004 Feb;187(2):164-9. doi: 10.1016/j.amjsurg.2003.11.006.
8
Chest wall resections and reconstruction: a 25-year experience.胸壁切除与重建：25年经验
Ann Thorac Surg. 2002 Jun;73(6):1720-5; discussion 1725-6. doi: 10.1016/s0003-4975(02)03527-0.
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Chest wall reconstruction.胸壁重建术。
Ann Plast Surg. 2002 Jan;48(1):105-7. doi: 10.1097/00000637-200201000-00019.