CAJ | 학술논문

目的：研究背阔肌瓣转移联合假体置入即刻乳房重建术在乳腺癌改良根治术患者乳房外形修复中的作用。方法分析20例背阔肌瓣转移联合假体置入即刻乳房重建术患者的临床资料，并与18例单纯假体置入即刻乳房重建术患者的临床资料进行对照研究。结果背阔肌瓣转移联合假体置入即刻乳房重建术修复乳房外形的效果显著优于单纯假体置入术（P=0.042），两组在并发症发生率等方面无显著差异（P＞0.05）。结论对于乳腺癌改良根治术假体置入即刻乳房重建患者，选择背阔肌瓣转移覆盖假体，能使术后伤口愈合更佳，乳房外形更加美观，患者满意度更高。
목적：연구배활기판전이연합가체치입즉각유방중건술재유선암개량근치술환자유방외형수복중적작용。방법분석20례배활기판전이연합가체치입즉각유방중건술환자적림상자료，병여18례단순가체치입즉각유방중건술환자적림상자료진행대조연구。결과배활기판전이연합가체치입즉각유방중건술수복유방외형적효과현저우우단순가체치입술（P=0.042），량조재병발증발생솔등방면무현저차이（P＞0.05）。결론대우유선암개량근치술가체치입즉각유방중건환자，선택배활기판전이복개가체，능사술후상구유합경가，유방외형경가미관，환자만의도경고。
Objective To study the effect of immediate breast reconstruction using the latissimus dorsi flap combined with breast implant on breast shape restoration in patients undergoing modified radical mastectomy. Methods A total of 38 patients with early breast cancer were divided into two groups, Experimental Group (n=20) and Control Group (n=218). All the patients accepted modified radical mastectomy. In Experimental Group, patients underwent immediate breast reconstruction with the latissimus domi flap combined with implants following mastectomy. In Control Group, patients underwent immediate breast reconstruction with breast implant only. Clinical data were collected and analyzed,retrospectively. Results The effect of breast shape optimization in Experimental Group was markedly superior to Control Group (P=0.042).There was no statistical difference in postoperative complications between the two groups. Conclusion Latissimus dorsi flap combined with implants is a reliable method which make the patients more aestheically pleasing and more satisfied for immediate breast reconstruction.