改良背阔肌肌皮瓣乳房再造术

MODIFIED BREAST RECONSTRUCTION BY LATISSIMUS DORSI MUSCULOCUTANEOUS FLAP

目的 探索背阔肌肌皮瓣在乳房再造术中的应用价值 ,为临床自体乳房再造提供一种有效的手术方式。方法 1994年以来 ,采用以背阔肌肌皮瓣及胸背动脉营养的脂肪组织联合移位 ,以对侧乳房的形态及体积为参照 ,进行取材及塑形的自体组织再造乳房。结果 6 0例 (6 0侧 )乳房再造手术全部成功 ,经过 3个月～ 5年随访 ,术后效果满意 41例 ,占 6 8.3% ;比较满意 16例 ,占 2 6 .7% ;不满意 3例 ,占 5 .0 %。结论 改良背阔肌肌皮瓣移位再造乳房 ,克服了传统背阔肌肌皮瓣再造乳房时组织量不足的缺点 ,手术操作不复杂 ,成功率高 。

Objective\ To investigate the effect of breast reconstruction with latissimus dorsi musculocutaneous flap.Methods\ Since 1994, 60 cases were performed breast reconstruction with latissimus dorsi musculocutaneous flap with fat tissue nurished by thoracodorsal artery according to the shape and volume of the normal breast on the other side.All of cases were followed up for 3 months to 5 years.Results\ Among the 60 cases,excellent effect was obtained in 41 cases (68.3%),good effect in 16 cases (26.7%),unsatisfactory in 3 cases (5 0%).Conclusion\ Modified latissimus dorsi musculocutaneous flap to reconstruct breast overcome the shortcoming of volume deficiency of traditional latissimus dorsi in breast reconstruction,and it is a safe and easy manipulated surgical operation.