CAJ | 학술논문

目的研究胸外侧血管用作游离皮瓣乳房再造的受区血管的可能性及其应用.方法2008年1月-2010年3月10例患乳腺癌且腋窝淋巴结活检阴性的患者在我科接受了乳腺癌改良根治,联合游离横行腹直肌肌皮瓣即刻乳房再造术,采用胸外侧血管作为受区血管进行血管吻合.对患者的手术时间、皮瓣缺血时间、并发症及美容效果进行评估.结果平均手术时间5.9(5.3~6.5) h,皮瓣平均缺血时间75(55~100) min.除1例出现部分脂肪液化外无严重并发症.平均随访时间8.9(6~14)月,患者满意率达90%,无明显功能障碍.结论胸外侧动脉作为游离皮瓣即刻乳房再造的受区血管,易于暴露,操作简单,术后效果良好,尤其适用于无需腋窝淋巴结清扫的患者.
목적연구흉외측혈관용작유리피판유방재조적수구혈관적가능성급기응용.방법2008년1월-2010년3월10례환유선암차액와림파결활검음성적환자재아과접수료유선암개량근치,연합유리횡행복직기기피판즉각유방재조술,채용흉외측혈관작위수구혈관진행혈관문합.대환자적수술시간、피판결혈시간、병발증급미용효과진행평고.결과평균수술시간5.9(5.3~6.5) h,피판평균결혈시간75(55~100) min.제1례출현부분지방액화외무엄중병발증.평균수방시간8.9(6~14)월,환자만의솔체90%,무명현공능장애.결론흉외측동맥작위유리피판즉각유방재조적수구혈관,역우폭로,조작간단,술후효과량호,우기괄용우무수액와림파결청소적환자.
Objective To study the application of lateral thoracodorsal vessels as recipient vessels in free flap breast reconstruction. Methods Ten breast cancer patients with negative sentinel lymph node biopsy underwent mastectomy with immediate free flap breast reconstruction using lateral thoracic vessels as recipient vessels in our department from January 2008 to March 2010. The operation time, flap ischemic time, complications, and cosmetic outcome were assessed. Results The operation time was 5.3-6.5(mean 5.9) h. The flap ischemic time was 55-100(mean 75) min. No severe complication occurred except partial fat necrosis in 1 patient. The patients were followed up for 4-14(mean 8.9) months with a satisfaction rate of 90%and no significant dysfunction. Conclusion Lateral thoracic vessels can be used in immediate breast reconstruction as an alternative option for thoracodorsal vessels, and especially suitable for those who do not need complete clearance of axillary lymph nodes.