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背阔肌肌皮瓣在乳房重建手术中的治疗应用：一例报告

Latissimus Dorsi Musculocutaneous Flap as a Therapeutic Option in Breast Reconstructive Surgery: A Case Report.

作者信息

Villarreal-Salgado José L, Ortega-Fernández Alexis, Montenegro Jimenez Carolina, Carballar Mejía Fernando, Vázquez-Lara Sergio E

机构信息

Plastic and Reconstructive Surgery, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Zapopan, MEX.

General Surgery, High Specialty Medical Unit 71, Torreon, MEX.

出版信息

Cureus. 2024 Sep 15;16(9):e69481. doi: 10.7759/cureus.69481. eCollection 2024 Sep.

DOI:10.7759/cureus.69481
PMID:39416586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11479999/
Abstract

In plastic surgery, the reconstructive ladder is a systematic approach used to guide the planning and execution of reconstructive procedures. The use of autologous tissues is preferred in the breast reconstruction process due to the multiple advantages they offer. The latissimus dorsi musculocutaneous flap has been the therapeutic option of choice in these cases, replacing other surgical techniques because of the high adaptability and low complication rates. We report a case of a 69-year-old female who presented a lesion in the right breast reported as sarcoma, who underwent into an extended resection and reconstructive procedure with a latissimus dorsi musculocutaneous flap.

摘要

在整形外科中，重建阶梯是一种用于指导重建手术规划和实施的系统方法。在乳房重建过程中，由于自体组织具有多种优势，因此优先使用自体组织。背阔肌肌皮瓣一直是这些病例的首选治疗方案，因其适应性强、并发症发生率低，取代了其他手术技术。我们报告一例69岁女性，其右乳出现一处被诊断为肉瘤的病变，该患者接受了扩大切除术，并采用背阔肌肌皮瓣进行重建手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/9441b9e52b06/cureus-0016-00000069481-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/c6dd75fb3356/cureus-0016-00000069481-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/b18f0ad1b93f/cureus-0016-00000069481-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/593d51b1b00a/cureus-0016-00000069481-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/8d9b6bcea69f/cureus-0016-00000069481-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/21e2a9de15ad/cureus-0016-00000069481-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/9441b9e52b06/cureus-0016-00000069481-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/c6dd75fb3356/cureus-0016-00000069481-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/b18f0ad1b93f/cureus-0016-00000069481-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/593d51b1b00a/cureus-0016-00000069481-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/8d9b6bcea69f/cureus-0016-00000069481-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/21e2a9de15ad/cureus-0016-00000069481-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46fc/11479999/9441b9e52b06/cureus-0016-00000069481-i06.jpg

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本文引用的文献

1
Breast Reconstruction using the Anterior Approach Scarless Latissimus Dorsi Muscular flap: A Single Center Retrospective Study.采用前入路无痕背阔肌肌皮瓣进行乳房重建：单中心回顾性研究
JPRAS Open. 2024 Mar 21;40:194-205. doi: 10.1016/j.jpra.2024.03.004. eCollection 2024 Jun.
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Breast reconstruction with latissimus dorsi flap: a comprehensive review and case series.背阔肌肌皮瓣乳房重建：综述与病例系列
Ann Transl Med. 2023 Aug 30;11(10):355. doi: 10.21037/atm-23-469. Epub 2023 May 24.
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Latissimus dorsi flap for breast reconstruction: a large single-institution evaluation of surgical outcome and complications.
背阔肌皮瓣乳房重建：一项大型单机构手术结果和并发症的评估。
Arch Gynecol Obstet. 2024 Jan;309(1):269-280. doi: 10.1007/s00404-023-07186-3. Epub 2023 Aug 16.
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Early and long-term results of prosthetic chest wall reconstruction.人工胸壁重建的早期及长期结果
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