摘要
目的探讨乳腺癌改良根治术I期假体植入、背阔肌瓣前移覆盖裸露假体新手术方法的特点，以及手术后患者的心理状态等。方法对行上述新的手术方法的20例乳腺癌患者与单纯改良根治术I期假体植入的22例乳腺癌患者作为对比研究。结果研究组患者术后伤152愈合佳，双侧乳房基本对称，患者对人造乳房外形很满意。而对照组中有6例术后出现皮瓣坏死，导致假体移位或外露，手感欠佳。两组患者对乳房外形的满意程度差异有统计学意义（P〈0．01）。结论在乳腺癌改良根治术即时假体植入时，行背阔肌瓣前移覆盖裸露的假体，能使术后伤152愈合更佳，人造乳房外形更美观，更好地满足肿瘤治疗和形体美容的要求。
Objective To explore characteristics of the new surgical method of-forward shift of latissmus dorsi flap for prosthesis implantation after radical mastectomy of breast cancer. Methods Comparison study was performed between 20 patients with the new method and 22 patients with simplicity prosthesis implantation after radical mastectomy of breast cancer in our hospital from June 2003 to August 2006. Results Healing of the incision of all cases in study groups was very good. Double breast shape was basically symmetrical and the effect was satisfactory. Skin flap putrescence in 6 cases of control group conduced prosthesis shift or outside and lack of handle. Satisfactory rate for breast shape was significantly different between two groups（ P 〈 0. 01 ）. Conclusion Forward shift of latissmus dorsi flap for prosthesis implantation after radical mastectomy of breast cancer can accomplish better healing of the incisions and better shapes of the artificial breasts. It is suitable for beth tumor cure and esthetic purposes.
出处
《中国医师杂志》
CAS
2007年第3期295-297,共3页
Journal of Chinese Physician
基金
广东省深圳市科技局资助项目（200603067）
