CAJ | 학술논문

目的探讨乳癌根治术后复发病灶及放射性溃疡的胸壁大块深度缺损修复方法.方法采用对侧以第2、3肋间前胸穿支为血管蒂的岛状皮瓣修复乳癌根治术后局部复发病灶清除后缺损创面4例及放射性溃疡8例.结果 12例皮瓣全部成活,其中l例皮瓣远端表皮坏死经换药后痊愈.随访6个月～4年,伤口愈合稳定,外形恢复满意.结论以第2、3肋间前胸穿支为血管蒂的岛状皮瓣是一期修复乳癌根治术后局部复发病灶的清除缺损创面及放射性溃疡简便易行的理想方法.
목적 탐토유암근치술후복발병조급방사성궤양적흉벽대괴심도결손수복방법.방법 채용대측이제2、3륵간전흉천지위혈관체적도상피판수복유암근치술후국부복발병조청제후결손창면4례급방사성궤양8례.결과 12례피판전부성활,기중l례피판원단표피배사경환약후전유.수방6개월～4년,상구유합은정,외형회복만의.결론 이제2、3륵간전흉천지위혈관체적도상피판시일기수복유암근치술후국부복발병조적청제결손창면급방사성궤양간편역행적이상방법.
Objective To evaluate a repair approach to major defects of chest wall caused by recurrent lesion or radiation ulcer after radical mastectomy.Methods The delto-pectoral island flaps were applied to repair major defects of chest wall.The blood supply of the flap was from the 2nd and 3rd anterior perforator of the internal mammary artery.4 patients with defects of chest wall caused by recurrent cancer lesion and 8 patients caused by radiation ulcer received the pedicled flap after resection of lesion or ulcer.Results All the 12 flaps survived,in which flap necrosis at the distal end occurred in 1 case and it was cured after changing dress.After a follow-up of 6 monthls to 4 years,the flap healed and the cosmetic effect was satisfactory.Conclusions This method is an ideal method for repair of stage I major defects of chest wall caused by recurrent lesion and radiation ulcer after radical mastectomy.