利用扩大背阔肌肌皮瓣行乳房再造的初步报告

Preliminary Report of Breast Reconstruction with Extended Latissimus Dorsal Myocutaneous Flap

目的 :介绍单纯应用扩大背阔肌肌皮瓣进行乳房再造方法。方法 :在背部设计半月形皮肤切口 ,切取背阔肌及周围脂肪组织 ,不应用乳房假体 ,进行即时或后期乳房再造。结果 :应用该方法再造乳房 12例 ,再造乳房形态良好。结论 :扩大背阔肌肌皮瓣再造乳房 ,安全有效 ,再造乳房形态良好 ,是乳房再造方法的重要进展。

Objective: To introduce our experience about immediate and delayed breast reconstruction using extended latissimus dorsal myocutaneous flap without breast implant. Methods: Half-moon incision was designed. Breast reconstruction was performed with latissimus dorsal myocutaneous flap and surrounding fat tissue, without using breast implant. Results: Breast reconstruction was performed in 12 patients with extended latissimus dorsal myocutaneous flap. The morphology of reconstructed breasts was excellent. Conclusion: Breast reconstruction with extended latissimus dorsal myocutaneous flap is safe and effective. It may be the major advancement in breast reconstruction.