CAJ | 학술논문

目的探讨背阔肌皮瓣在乳腺癌术后乳房一期重建中的应用价值.方法 164例接受乳腺癌术后乳房一期重建患者作为研究对象, 随机分为观察组与对照组, 各82例.观察组采取背阔肌皮瓣联合假体置入, 对照组单纯假体置入, 术后比较两组乳房美观度和并发症.结果两组均顺利完成乳房重建手术, 观察组乳房美观优良率为92.68%, 对照组乳房美观优良率60.98%, 组间比较差异有统计学意义(P<0.05);观察组供区皮下积液3例(3.66%), 对照组无明显不良反应, 组间比较差异无统计学意义(P>0.05).结论背阔肌皮瓣有助于提高重建乳房的美观度, 无明显不良反应, 值得临床推广应用.
목적 탐토배활기피판재유선암술후유방일기중건중적응용개치.방법 164례접수유선암술후유방일기중건환자작위연구대상, 수궤분위관찰조여대조조, 각82례.관찰조채취배활기피판연합가체치입, 대조조단순가체치입, 술후비교량조유방미관도화병발증.결과 량조균순리완성유방중건수술, 관찰조유방미관우량솔위92.68%, 대조조유방미관우량솔60.98%, 조간비교차이유통계학의의(P<0.05);관찰조공구피하적액3례(3.66%), 대조조무명현불량반응, 조간비교차이무통계학의의(P>0.05).결론 배활기피판유조우제고중건유방적미관도, 무명현불량반응, 치득림상추엄응용.
Objective To investigate application value of latissimus dorsi flap in first stage of breast reconstruction.Methods A total of 164 patients receiving first stage of breast reconstruction after breast cancer operation as study subjects were randomly divided into observation group and control group, with 82 cases in each group. The observation group received latissimus dorsi flap combined with prosthesis implantation, and the control group received prosthesis implantation alone. Brest appearance and complications were compared between the two groups after operation.Results Both groups received successful breast reconstruction. The observation group had good rate of breast appearance as 92.68%, and the control group had that as 60.98%. The difference between the two groups had statistical significance (P<0.05). There were 3 cases (3.66%) with donor subcutaneous hydrops in the observation group, and no case with obvious adverse reactions in the control group. The difference had no statistical significance between the two groups (P>0.05).Conclusion Latissimus dorsi flap is helpful to improve breast appearance, without obvious adverse reactions. This method is worth clinical promotion and application.