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目的介绍保留皮肤的乳癌改良根治术后即时背阔肌肌皮瓣乳房再造的经验。方法对Ⅰ,Ⅱ期乳腺癌行保留乳房皮肤经皮下切除乳腺组织,清扫腋窝淋巴结,应用背阔肌肌皮瓣即时乳房再造。结果应用该方法治疗3 7例,经随访7 5个月,再造乳房自然柔软,外观形态良好,满意率94.6%。结论保留皮肤的乳腺癌根治术后即时背阔肌肌皮瓣乳房再造具有操作方便,治疗效果良好,患者满意度高,是值得推广的好方法。
Objective To introduce the experience of breast reconstruction with immediate latissimus dorsi myocutaneous flap after modified radical mastectomy to preserve the skin. Methods For breast cancer Ⅰ and Ⅱ, breast tissue was removed by subcutaneous excision of breast tissue, axillary lymph nodes were dissected, and latissimus dorsi muscle flap was used for immediate breast reconstruction. Results 37 cases were treated by this method. After a follow-up of 7 months and 5 months, the breast was naturally soft and the appearance was good. The satisfaction rate was 94.6%. CONCLUSIONS: Breast reconstruction of skin with preserved latissimus dorsi myocutaneous flap after radical mastectomy has the advantages of convenient operation, good curative effect and high patient satisfaction. It is a good way to promote breast reconstruction.