组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2015, Vol. 11 ›› Issue (2): 69-71.doi: 10.3969/j.issn.1673-0364.2015.02.004

• 论著 • 上一篇    下一篇

胸背动脉穿支皮瓣修复乳房缺损畸形的临床应用

王先成，熊祥，方柏荣，孙杨，李晓芳，鲁青，贺吉庸，王玉银   

  1. 中南大学湘雅二医院烧伤整形美容外科
  • 发布日期:2020-07-23

Clinical Application of the Thoradorsal Artery Perforator Flaps for Reconstruction of Breast Defect and Deformity

WANG Xiancheng,XIONG Xiang,FANG Bairong,SUN Yang,LI Xiaofang,LU Qin,HE Jiyong,WANG Yuying   

  1. Department of Plastic Surgery and Burns, The Second Xiangya Hospital, Central South University;
  • Published:2020-07-23

摘要： 目的探讨胸背动脉穿支皮瓣或预扩张后胸背动脉穿支皮瓣,在乳房缺损畸形重建中的临床应用。方法2007年8月至2014年4月,对23例乳房缺损畸形患者,采用预扩张带蒂胸背动脉穿支皮瓣修复5例,单纯带蒂胸背动脉穿支皮瓣修复18例,皮瓣大小为12 cm×22 cm~7 cm×12 cm。结果 23例患者术后皮瓣均完全成活,供区无血肿、血清肿等并发症发生。术后随访3~26个月,皮瓣成活良好,外形恢复较好。结论胸背动脉穿支皮瓣较薄,穿支血管蒂较长且走行恒定,预扩张后可提供较大面积的皮瓣,是修复乳房浅表组织缺损畸形的良好选择。

关键词: 穿支皮瓣, 胸背动脉, 乳房缺损畸形

Abstract: Objective To explore the clinical application of thoradorsal artery perforator flaps (TAP) for reconstruction of breast defect and deformity. Methods From August 2007 to April 2014, 23 cases with breast defect and deformity were treated. TAP flaps were used in 18 cases for breast reconstruction and pre-expanded TAP flaps were used in 5 cases. The size of flaps ranged from 12 cm×22 cm to 7 cm×12 cm. Results All the flaps were survived. No complication was observed. All the patients were followed up for 3-26 months. The flaps were well healed with lowest donor site morbidity. Conclusion The thordorsal artery perforator flap is thin and reliable with long vascular pedicle and constant direction, and could provide a large area of skin flap after pre-expansion. It is an effective method for breast reconstruction.

Key words: Perforator flap, Thoradorsal artery, Breast deformity

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