乳腺癌改良根治术后腹壁下动脉穿支皮瓣即刻乳房重建十例

doi:10.3321/j.issn:0376-2491.2008.15.015

科研成果详情

题名	乳腺癌改良根治术后腹壁下动脉穿支皮瓣即刻乳房重建十例
其他题名	Free deep inferior epigastric artery perforator flap techniques for the immediate post modified radial mastectomy reconstruction
作者	郑敏1; 林海舵1; 蒋正财1; 杨景全 2
发表日期	2008-04-15
发表期刊	中华医学杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	乳腺肿瘤乳房成形术外科皮瓣
其他关键词	Breast neoplasms ; Mammaplasty ; Surgical flaps
摘要	目的探讨早期乳腺癌改良根治术后即刻乳房重建的可行性和方法。方法对Ⅰ期或Ⅱa期乳腺癌患者行保留皮肤的乳腺癌改良根治术后,切取以腹壁下动静脉为血管蒂的游离皮瓣,与患侧胸背动静脉相吻合,行即刻腹壁下动脉穿支皮瓣(DIEP)乳房重建。结果 2005年以来,应用DIEP 皮瓣重建乳房10例,8例患者重建的乳房全部存活,无任何并发症;1例部分皮瓣坏死;1例局部脂肪液化。随访9～28个月,重建乳房形态正常,未出现供区腹部并发症。患者优良满意率达90%以上。结论 DIEP 皮瓣乳房重建血运丰富,组织量大,易于塑形,腹部并发症少,远期效果好。
其他摘要	Objective To discuss the feasibility and method of immediate breast reconstruction right after modified radical mastectomy in early breast carcinoma patients.Methods Deep inferior epigastric artery perforaton flaps were immediately applied on patients to reconstruct the breast after the skin-sparing mastectomy.The breasts were shaped after the deep inferior epigastric artery and vein were anastomosed to the thoraeodorsal artery and vein.Results In 10 cases of breast reconstruction by DIEP flaps since 2005,there were completely survival in 8 flaps,distal skin necrosis in 1 flap,adiponecrosis in 1 flap.With the follow-up of 9-28 months,the reconstructed breasts were well-shaped and there were no abdominal complication in dnor sites.Ninety percent patients were satisfied with the results from the good to the best level.Conclusion Most patients were satisfied with the results of mastectomy reconstruction.
ISSN	0376-2491
卷号	88 期号:15 页码:1069-1070
DOI	10.3321/j.issn:0376-2491.2008.15.015
页数	0
收录类别	CNKI ; CSCD ; 万方 ; 北大核心 ; PKU ; ISTIC
学科领域	医药、卫生
URL	查看原文
CSCD记录号	CSCD:3369513
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/80290
专题	附属第二医院_乳腺外科附属第二医院
作者单位	1.温州医学院附属二院乳腺外科; 2.温州医学院附属二院整形外科
第一作者单位	附属第二医院_乳腺外科
第一作者的第一单位	附属第二医院_乳腺外科
推荐引用方式 GB/T 7714	郑敏,林海舵,蒋正财,等. 乳腺癌改良根治术后腹壁下动脉穿支皮瓣即刻乳房重建十例[J]. 中华医学杂志,2008,88(15):1069-1070.
APA	郑敏, 林海舵, 蒋正财, & 杨景全. (2008). 乳腺癌改良根治术后腹壁下动脉穿支皮瓣即刻乳房重建十例. 中华医学杂志, 88(15), 1069-1070.
MLA	郑敏,et al."乳腺癌改良根治术后腹壁下动脉穿支皮瓣即刻乳房重建十例".中华医学杂志 88.15(2008):1069-1070.