知识与财富的链接
摘 要：［目的］ 评估胸外侧筋膜组织瓣用于修复乳腺癌保乳术后缺损的可行性、安全性与美容性。［方法］ 共纳入55例于2020年6月至2021年12月期间在杭州市肿瘤医院肿瘤外科行乳腺癌保乳手术的患者。其中观察组23例患者保乳术后即刻行胸外侧筋膜组织瓣成形术,同时收集32例单纯行乳腺癌保乳手术的患者作为对照组。评估患者手术并发症的发生率、术后乳房外观、乳腺癌局部复发及远处转移。［结果］ 观察组有2例患者出现血肿,对照组无并发症发生。胸外侧筋膜组织瓣成形术可减少术中切缘阳性率（13.04% vs 27.27%）,患者术后乳房满意度更高。中位随访15.77个月,两组患者均无局部复发或远处转移。［结论］ 胸外侧筋膜组织瓣是保乳手术后较理想的可用于乳房外侧象限缺损修补的组织瓣。
Abstract：［Objective］ To investigate the feasibility, safety and effectiveness of employing lateral thoracic adipofascial(LTA) tissue flaps to reconstruct breast defects following breast-conserving surgery(BCS). ［Methods］ A total of 55 patients who underwent BCS between June 2020 and December 2021 in Surgical Oncology Department of Hangzhou Cancer Hospital were analyzed. Of these, 23 patients were reconstructed with LTA tissue flaps, and the other 32 patients received BCS only and were assigned as the control group. All patients were followed up, and we assessed surgery-related complic ations, cosmetic outcome, local recurrence and distant metastasis. ［Results］ Two patients in LTA group developed hematoma, and no complication occurred in control group. Patients in LTA group exhibited lower positive margins(13.04% vs 27.27%) and higher breast satisfaction than the control group. Median follow-up period was 15.77 months, all the patients had no local recurrence or distant metastasis. ［Conclusion］ The LTA tissue flaps were reliable and useful for reconstructing breast defects after BCS when the lesions were located in the outer quadrants.
