CAJ | 학술논문

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Ⅱ a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.
목적 탐토조기유선암개량근치술후즉각유방중건적가행성화방법.방법 대Ⅰ기혹Ⅱ a기유선암환자행보류피부적유선암개량근치술후,절취이복벽하동정맥위혈관체적유리피판,여환측흉배동정맥상문합,행즉각복벽하동맥천지피판(DIEP)유방중건.결과 2005년이래,응용DIEP피판중건유방10례,8례환자중건적유방전부존활,무임하병발증;1례부분피판배사;1례국부지방액화.수방9～28개월,중건유방형태정상,미출현공구복부병발증.환자우량만의솔체90%이상.결론 DIEP피판유방중건혈운봉부,조직량대,역우소형,복부병발증소,원기효과호.
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.