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目的观察应用侧胸皮瓣修复乳腺癌术后放射治疗所致胸壁瘘的效果。方法共收治乳腺癌术后放射治疗所致大面积溃疡5例,肋骨坏死2例;邻位皮瓣及侧乳房皮瓣修复5例,侧胸皮瓣修复2例。结果皮瓣全部成活,术后随访皮瓣外形色泽佳。结论侧胸皮瓣修复乳腺癌术后所致溃疡胸壁瘘安全可靠,整形效果佳,患者对术后效果满意。
Objective To observe the effect of applying lateral thoracic flap to repair thoracic wall fistula after radiotherapy of breast cancer. Methods A total of 5 cases of large area ulceration caused by postoperative radiotherapy of breast cancer and 2 cases of rib necrosis were treated. Adjacent flaps and side breast flap were repaired in 5 cases, and lateral chest flap was repaired in 2 cases. Results All flaps survived, postoperative follow-up flap shape and good color. Conclusions The repair of breast cancer with ulnar chest wall fistula after breast flap surgery is safe and reliable, and the shaping effect is good. The patient is satisfied with the postoperative result.