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患者报告的背阔肌肌皮瓣在即刻部分乳房重建和延迟全乳房重建中的生活质量及美学满意度

Patient Reported Quality of Life and Aesthetic Satisfaction with Latissimus Dorsi Flap in Immediate Partial and Delayed Total Breast Reconstruction.

作者信息

Serin Merdan, Yazar Sevgi Kurt

机构信息

Department of Plastic Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey.

出版信息

Sisli Etfal Hastan Tip Bul. 2018 Oct 4;53(1):42-45. doi: 10.14744/SEMB.2018.04820. eCollection 2019.

Abstract

OBJECTIVES

Latissimus dorsi (LD) muscle flap can be used as an alternative to abdominal flaps for autologous breast reconstruction. The aim of the present study was to present the results of the quality of life and aesthetic satisfaction of breast reconstruction surgeries with LD flap and implants.

METHODS

Sixteen patients who had undergone LD flap breast reconstruction were included in the study. Patients were surveyed on the quality of life and aesthetic satisfaction 12 months following breast reconstruction.

RESULTS

There were no major complications observed following surgeries. All of the patients included in the study were highly satisfied with the final aesthetic results. There was no difference in satisfaction rate between partial versus total reconstructions and between reconstruction with or without implant.

CONCLUSION

LD flaps can be a good alternative to abdominal flaps for autologous breast reconstruction for both partial and total breast reconstruction and can achieve similar aesthetic results.

摘要

目的

背阔肌(LD)肌皮瓣可作为自体乳房重建中腹部皮瓣的替代方案。本研究的目的是呈现采用背阔肌肌皮瓣联合植入物进行乳房重建手术的生活质量和美学满意度结果。

方法

本研究纳入了16例行背阔肌肌皮瓣乳房重建术的患者。在乳房重建术后12个月对患者进行生活质量和美学满意度调查。

结果

术后未观察到严重并发症。本研究纳入的所有患者对最终美学效果高度满意。部分重建与全乳房重建之间以及植入物重建与未植入物重建之间的满意度无差异。

结论

对于部分和全乳房重建,背阔肌肌皮瓣均可作为腹部皮瓣用于自体乳房重建的良好替代方案,且可获得相似的美学效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/737f/7847730/3c565cac6e5a/MBSEH-53-42-g001.jpg

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