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目的:总结乳腺癌保留皮肤全乳切除一期扩大背阔肌皮瓣乳房重建的临床经验,评估乳房重建后患者满意度。方法:回顾分析15例应用乳腺癌保留皮肤全乳切除一期扩大背阔肌皮瓣乳房重建病例的临床资料,并于术后半年调查患者满意度情况。结果:手术后无皮瓣坏死;无伤口感染;供区血清肿3例(20%),均经穿刺抽液治愈。随访时间8~30月,平均18.5月。采用满意度表调查,结果显示患者的总体满意度为73.3%,美容满意度为66.7%。结论:乳腺癌保留皮肤全乳切除一期扩大背阔肌皮瓣乳房重建是一种并发症少、患者满意度高的乳房重建方法。
OBJECTIVE: To summarize the clinical experience of breast conserving skin excision for primary breast augmentation with latissimus dorsi flap reconstruction and to evaluate the patient satisfaction after breast reconstruction. Methods: A retrospective analysis of 15 patients with breast conserving skin excision of the whole breast to expand the clinical data of breast latissimus dorsi flap reconstruction cases, and six months after the patient satisfaction survey. Results: There was no necrosis of the flap after operation; no wound infection; 3 cases (20%) of seroma for donor area were cured by puncture fluid extraction. Follow-up time 8 to 30 months, an average of 18.5 months. Satisfaction table survey, the results showed that patients overall satisfaction was 73.3%, cosmetic satisfaction was 66.7%. Conclusion: Breast conserving skin excision of primary breast enlargement of the latissimus dorsi flap breast reconstruction is a less complication, patient satisfaction breast reconstruction method.