中国现代手术学杂志  2017, Vol. 21 Issue (3): 168-173 |
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| 转移背阔肌肌皮瓣修复局部晚期乳腺癌术后胸壁缺损 |
| 王佑权, 刘国文, 黄果 |
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摘要 目的 总结转移背阔肌肌皮瓣在修复局部晚期乳腺癌术后胸壁缺损中的优势。方法回顾性分析2010年8月~2016年8月我院收治的32例局部晚期乳腺癌患者的临床资料。根据胸壁缺损修复方式分为两组:27例采用转移背阔肌肌皮瓣修复根治性切除术后胸壁缺损(转移背阔肌肌皮瓣组);5例采用中厚皮片植皮修复胸壁缺损(中厚皮片植皮组)。比较两组患者皮瓣或植皮坏死情况、术后并发症、术后放疗实施等情况。结果 转移背阔肌肌皮瓣组27例中无肌皮瓣坏死,术后血清肿6例,腋窝积液5例,伤口感染1例;术后2月均予以放疗。中厚皮片植皮组5例中术后植皮坏死3例,其中2例患者再次植皮术后恢复,1例以邻近皮瓣转移修复;伤口感染1例;完成辅助化疗后术后2月3例患者行放疗。两组患者转移皮瓣或植皮坏死率、术后2月开始放疗率比较,差异均有统计学意义(P<0.05),而组间其他并发症比较,差异无统计学意义(P>0.05)。结论 转移背阔肌肌皮瓣修复局部晚期乳腺癌术后胸壁缺损安全、成功率高,利于术后放射治疗的顺利实施。
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| 关键词:
局部晚期乳腺癌
转移背阔肌肌皮瓣
胸壁缺损
乳腺癌根治术
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出版日期: 2017-06-30
发布日期: 2017-10-30
期的出版日期: 2017-06-30
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JIAN Wen-jing, TANG Jing, WANG Xian-ming. Retrospective Analysis on 12Genes DCIS Score Model Predicting the Recurrence Risk of Ductal Carcinoma in Situ of the Breast[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(3): 161
-167
. |
| [2] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 174
-177
. |
| [3] |
WANG Zheng-lin. Comparison of the Short-term Clinical Efficacy of Laparoscopic-Assisted and Open Radical Resection of Colorectal Cancer[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(6): 401
-405
. |
| [4] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 178
-181
. |
| [5] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 182
-186
. |
| [6] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 187
-190
. |
| [7] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 191
-193
. |
| [8] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 194
-196
. |
| [9] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 197
-200
. |
| [10] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 201
-205
. |
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