CAJ | 학술논문

目的：探讨胸背动脉穿支皮瓣或预扩张后胸背动脉穿支皮瓣，在乳房缺损畸形重建中的临床应用。方法2007年8月至2014年4月，对23例乳房缺损畸形患者，采用预扩张带蒂胸背动脉穿支皮瓣修复5例，单纯带蒂胸背动脉穿支皮瓣修复18例，皮瓣大小为12 cm×22 cm~7 cm×12 cm。结果23例患者术后皮瓣均完全成活，供区无血肿、血清肿等并发症发生。术后随访3~26个月，皮瓣成活良好，外形恢复较好。结论胸背动脉穿支皮瓣较薄，穿支血管蒂较长且走行恒定，预扩张后可提供较大面积的皮瓣，是修复乳房浅表组织缺损畸形的良好选择。
목적：탐토흉배동맥천지피판혹예확장후흉배동맥천지피판，재유방결손기형중건중적림상응용。방법2007년8월지2014년4월，대23례유방결손기형환자，채용예확장대체흉배동맥천지피판수복5례，단순대체흉배동맥천지피판수복18례，피판대소위12 cm×22 cm~7 cm×12 cm。결과23례환자술후피판균완전성활，공구무혈종、혈청종등병발증발생。술후수방3~26개월，피판성활량호，외형회복교호。결론흉배동맥천지피판교박，천지혈관체교장차주행항정，예확장후가제공교대면적적피판，시수복유방천표조직결손기형적량호선택。
Objective To explore the clinical application of thoradorsal artery perforator flaps (TAP) for reconstruction of breast defect and deformity. Methods From August 2007 to April 2014, 23 cases with breast defect and deformity were treated. TAP flaps were used in 18 cases for breast reconstruction and pre-expanded TAP flaps were used in 5 cases. The size of flaps ranged from 12 cm×22 cm to 7 cm×12 cm. Results All the flaps were survived. No complication was observed. All the patients were followed up for 3-26 months. The flaps were well healed with lowest donor site morbidity. Conclusion The thordorsal artery perforator flap is thin and reliable with long vascular pedicle and constant direction, and could provide a large area of skin flap after pre-expansion. It is an effective method for breast reconstruction.