外侧胸血管：DIEP 皮瓣乳房再造的新受区。
The lateral thoracic vessels: A novel recipient site for breast reconstruction with DIEP flap.
机构信息
Department of Plastic Surgery, Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
Department of Plastic Surgery, Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
出版信息
J Plast Reconstr Aesthet Surg. 2019 Sep;72(9):1530-1536. doi: 10.1016/j.bjps.2019.05.012. Epub 2019 May 22.
BACKGROUND
Adequate selection of recipient vessel to minimize recipient site morbidity is essential for a successful breast reconstruction. The authors explored the clinical use of the lateral thoracic vessels as recipient vessels in the deep inferior epigastric artery perforator (DIEP) flap breast reconstruction.
METHODS
This study included 63 patients with breast cancer. The age of patients ranged from 26 to 67 years (43.23 ± 8.63). All patients received an immediate DIEP flap breast reconstruction using the lateral thoracic vessels as recipient vessels in the authors' department from 2014 May to 2018 September. The flap blood supply, complications, and outcomes were assessed.
RESULTS
The patients were followed up for 6 to 29 months with satisfactory results. All the flaps had stable blood supply except for two cases, which had an event of partial skin necrosis and were repaired by debridement.
CONCLUSIONS
Lateral thoracic vessels are not only easy to explore but also have reliable blood supply, which present a safe and reliable choice for immediate DIEP flap breast reconstruction.
背景
为了成功进行乳房重建，选择合适的受区血管以最大程度减少受区部位的发病率至关重要。作者探讨了将胸外侧血管作为穿支皮瓣乳房重建中腹壁下动脉穿支（DIEP）皮瓣的受区血管的临床应用。
方法
本研究纳入了 63 例乳腺癌患者。患者年龄 26 至 67 岁，平均年龄（43.23±8.63）岁。所有患者均于 2014 年 5 月至 2018 年 9 月在作者所在科室接受了即刻 DIEP 皮瓣乳房重建，将胸外侧血管作为受区血管。评估了皮瓣的血供、并发症和结果。
结果
患者的随访时间为 6 至 29 个月，结果满意。除 2 例发生部分皮肤坏死外，所有皮瓣的血供均稳定，通过清创术进行了修复。
结论
胸外侧血管不仅易于探查，而且血供可靠，是即刻 DIEP 皮瓣乳房重建安全可靠的选择。
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