CAJ | 학술논문

目的：总结乳腺癌保留皮肤全乳切除一期扩大背阔肌皮瓣乳房重建的临床经验，评估乳房重建后患者满意度。方法：回顾分析15例应用乳腺癌保留皮肤全乳切除一期扩大背阔肌皮瓣乳房重建病例的临床资料，并于术后半年调查患者满意度情况。结果：手术后无皮瓣坏死；无伤口感染；供区血清肿3例（20％），均经穿刺抽液治愈。随访时间8～30月，平均18.5月。采用满意度表调查，结果显示患者的总体满意度为73.3％，美容满意度为66.7％。结论：乳腺癌保留皮肤全乳切除一期扩大背阔肌皮瓣乳房重建是一种并发症少、患者满意度高的乳房重建方法。
목적：총결유선암보류피부전유절제일기확대배활기피판유방중건적림상경험，평고유방중건후환자만의도。방법：회고분석15례응용유선암보류피부전유절제일기확대배활기피판유방중건병례적림상자료，병우술후반년조사환자만의도정황。결과：수술후무피판배사；무상구감염；공구혈청종3례（20％），균경천자추액치유。수방시간8～30월，평균18.5월。채용만의도표조사，결과현시환자적총체만의도위73.3％，미용만의도위66.7％。결론：유선암보류피부전유절제일기확대배활기피판유방중건시일충병발증소、환자만의도고적유방중건방법。
Aim:To evaluate the results of immediate breast reconstruction with an extended latissimus dorsi flap in patients with breast cancer following skin-sparing mastectomy and patient satisfaction in post-mastectomy reconstruction.Methods:The clinical data of the patients who had undergone immediate breast reconstruction with the latissimus dorsi flap after skin-sparing mastectomy from January 201 1 to January 201 3 were collected.The operative technical detail,postoperative complications and patient sat-isfactions were analyzed.Results:Fifteen patients with breast cancer underwent immediate breast recon-struction with the latissimus dorsi flap after skin-sparing mastectomy,including stage 0 (carcinoma in si-tu),Ⅰ,Ⅱa in 6,5,4 patients respectively.The mean age was 33.5 years (range,25 ~42 years). The length of following-up ranged from 8 to 30 months.There was no flap loss.Donor site seroma oc-curred in 3 patients (20%),which disappeared after repeated aspiration.Wound infection wasn’t ob-served.Patient overall general satisfaction rate in postmastectomy reconstruction was 73.3% and patient overall aesthetic satisfaction rate was 66.7%.Conclusion:In selected patients with breast cancer the ex-tended latissimus dorsi flap based breast reconstruction after skin-sparing mastectomy is a relatively easy and reliable method.