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[目的]探讨背阔肌肌皮瓣在保乳术乳房修复中的应用价值。[方法]2009年1月至2010年8月对21例早期乳腺癌患者行保乳术同期背阔肌皮瓣乳房修复术,并对美学效果进行评价。[结果]所有患者术后无严重并发症发生。除1例患者对修复乳房美学效果评价为尚可外,余患者对修复乳房的评价均为良,全组优良率为95.2%。[结论]背阔肌瓣或肌皮瓣在保乳手术中应用增加了保乳手术的适应证,美容效果较好。
[Objective] To investigate the application value of latissimus dorsi myocutaneous flap in breast reconstruction. [Method] From January 2009 to August 2010, 21 cases of early breast cancer underwent breast-conserving surgery with latissimus dorsi flap breast repair, and the aesthetic effect was evaluated. [Results] All patients had no serious complications after operation. In addition to a patient evaluation of the aesthetic effect of breast repair was acceptable, the remaining patients were evaluated for the repair of the breast were good, the overall rate of 95.2% excellent. [Conclusions] The application of latissimus dorsi flap or myocutaneous flap in breast conserving surgery increased the indications of breast conserving surgery, and the cosmetic effect is better.