CAJ | 학술논문

目的：总结乳腺癌患者行保留皮肤的改良根治术后即刻背阔肌（或扩大背阔肌）肌皮瓣乳房重建的效果。方法自2010-06～2012-10，对5例女性乳腺癌患者行保留皮肤的乳腺癌改良根治术，术后即刻乳房重建，重建方式为应用背阔肌肌皮瓣联合假体或扩大背阔肌肌皮瓣。术后评价其再造效果。结果5例患者手术成功，恢复良好，术后3例皮下积液，局部处理后愈合。患者均获随访，随访时间6～34个月，肿瘤均无局部复发。结论乳腺癌切除术后应用同侧背阔肌肌皮瓣联合假体或扩大背阔肌肌皮瓣即刻乳房再造可获得良好乳房形态。
목적：총결유선암환자행보류피부적개량근치술후즉각배활기（혹확대배활기）기피판유방중건적효과。방법자2010-06～2012-10，대5례녀성유선암환자행보류피부적유선암개량근치술，술후즉각유방중건，중건방식위응용배활기기피판연합가체혹확대배활기기피판。술후평개기재조효과。결과5례환자수술성공，회복량호，술후3례피하적액，국부처리후유합。환자균획수방，수방시간6～34개월，종류균무국부복발。결론유선암절제술후응용동측배활기기피판연합가체혹확대배활기기피판즉각유방재조가획득량호유방형태。
Objective To summarize the clinical application effect of immediate breast reconstruction using ( extended ) latissimus dorsi flaps after skin-sparing modified radical mastectomy for patients with breast cancer . Methods A total of 5 patients with breast cancer undergoing immediate breast reconstruction using (extended) latis-simus dorsi flaps after skin-sparing modified radical mastectomy from June 2010 to October 2012 were included in this study .The perioperative results were analyzed .Results All 5 patients were successful with well recovery .Subcutane-ous effusion occurred in 3 patients and were cured after local treatment .All patients were followed up for 6 ~34 months after operation , and local recurrence was not found .Conclusion Immediate breast reconstruction using ( ex-tended) latissimus dorsi flaps after skin-sparing modified radical mastectomy for patients with breast cancer has the advantage of good breast appearance .