组织工程与重建外科杂志 ›› 2016, Vol. 12 ›› Issue (3): 171-173.doi: 10.3969/j.issn.1673-0364.2016.03.007

• 论著 • 上一篇    下一篇

局部皮瓣在乳腺癌保乳术后一期修复中的应用

袁守勤,李发成,蒋宏传   

  1. 徐州医学院附属医院整形美容科;中国医学科学院整形外科医院;首都医科大学附属北京朝阳医院
  • 发布日期:2020-07-23

The Application of Local Flap in Immediate Reconstruction after Breast Conserving Surgery for Breast Cancer

YUAN Shouqin,LI Facheng,JIANG Hongchuan   

  • Published:2020-07-23

摘要: 目的 观察应用局部皮瓣修复保乳术后乳房缺损的临床疗效。方法 2004年7月至2013年1月,对9例早期乳腺癌患者保乳手术所遗留的乳房缺损进行即刻修复,采用外侧胸背筋膜皮瓣7例,胸腹壁皮瓣2例,观察皮瓣成活情况、并发症和术后美观效果。结果 术后外观评价8例为优,1例为良。1例患者出现皮瓣局部坏死,经保守治疗愈合。1例患者出现皮瓣供区感染,口服抗菌素治疗,未影响手术效果。术后平均随访22个月,未见局部复发病例。结论 应用局部皮瓣修复保乳术后乳房部分缺损,手术效果好,并发症少,可扩大肿瘤周围的切除范围,降低肿瘤局部复发风险。

关键词: 乳腺癌, 保乳手术, 局部皮瓣

Abstract: Objective To evaluate the clinical outcomes and aesthetic results of immediate reconstruction of partial mastectomy defects by local skin flaps. Methods From July 2004 to January 2013, 9 patients with breast cancer of early stage underwent immediate reconstruction of partial mastectomy defects using lateral thoracodorsal fasciocutaneous flap (n=7) and thoracoepigastric flaps (n=2). Flap and donor site complications were evaluated. Information on aesthetic results was collected. Results The final cosmetic result was considered to be excellent in 8 patients and good in one patient. Limited flap necrosis occurred in one patient and was treated by a conservative approach. The one case of donor site infection was treated with oral antibiotics and achieved satisfactory results. Mean time of follow-up was 22 months, no local recurrences were observed. Conclusion Immediate repair of partial mastectomy defects with local skin flap results in a low risk of complications and excellent aesthetic outcomes. The technique facilitates the breast surgeon’s ability to accomplish a widely negative resection margin around tumor, which has the potential to achieve lower rates of local recurrence.

Key words: Breast cancer, Breast conserving surgery, Local flap

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