中国实用外科杂志
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陈 颖1,2,吴 炅1
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背阔肌肌皮瓣在乳腺癌术后乳房重建领域占据至关重要的地位。它具有恒定的血管解剖,且无需配合血管吻合等显微外科技术,操作简便,还可根据所需的缺损组织量进行相应的获取范围的调整。从单纯背阔肌到扩大背阔肌再到迷你背阔肌的探索历程,以及与假体、脂肪移植等整形技术手段相结合的方式,回顾背阔肌肌皮瓣乳房重建的发展使医生能够更好地依据不同病人的个体差异制定最合适的重建方案,在治疗疾病的同时塑造更为美观的外形。
关键词: 乳腺癌, 乳房重建, 背阔肌肌皮瓣
Abstract:
Progress of the implication of latissimus dorsi flap in breast reconstruction for breast cancer patients CHEN Ying*, WU Jiong. *Department of Breast Surgery, Fudan University Shanghai Cancer Center, and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China; Department of Breast Surgery, Fujian Medical University Cancer Hospital, Fujian Cancer Hospital, Fujian 350014, China Corresponding author: WU Jiong, E-mail: wujiong1122@vip.sina.com Abstract Latissimus dorsi flap (LDF) is especially critical in the field of breast reconstruction for breast cancer patients. It has a constant vascular anatomy, and does not require microsurgical techniques such as vascular anastomosis. In addition, LDF can adjust the acquisition range according to the required amount of tissue defects. The history of the application of LDF in breast reconstruction,and backtrack the exploration course from LDF to extended LDF, which further transform into mini LDF shows that the combination with implants or lipofilling technique makes LDF a broader range of application. By reviewing the development of LDF in the field of breast reconstruction, doctors can provide more individual reconstruction plans for patients according to their own situations. It can not only curing the disease, but also remodelling the shape of breast for breast cancer patients.
Key words: breast cancer, breast reconstruction, latissimus dorsi flap
陈 颖1,2,吴 炅1. 乳腺癌术后乳房重建中背阔肌肌皮瓣应用进展[J]. 中国实用外科杂志, DOI: 10.19538/j.cjps.issn1005-2208.2021.02.23.
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https://www.zgsyz.com/zgsywk/CN/Y2021/V41/I02/227