摘要目的 探讨背阔肌肌皮瓣联合乳房假体进行乳房再造术的临床效果.方法 在背阔肌乳房再造术中,切断背阔肌止点,将上方背阔肌肌皮瓣向已行瘢痕粘连松解的腋窝旋转并固定,联合乳房假体进行乳房再造术.结果 从1998年至2017年10月,共完成乳房再造237例,腋窝凹陷畸形均得到矫正,局部无臃肿,手术效果良好.结论 应用背阔肌肌皮瓣转移联合乳房假体乳房再造术,于乳房再造术同期修复腋窝畸形,效果良好,操作简便,患者满意度高.

abstractsObjective To introduce our experience about the breast reconstruction using latissimus dorsi (LD) flap combined with breast implant.The details of the operative method were prescribed.Methods During the LD mycutaneous breast reconstruction,the insertion of LD was cut off and rotated to fulfil ipsilateral axillary fossa.The breast reconstruction was performed using LD and breast implant.Results 237 cases of breast reconstruction were performed from 1998 to 2017.The axillary contour deformity was successfully restored.The results were satisfied and stable during the follow-up.Conclusions Using proximal LD flap to repair axillary fossa deformity is a safe,effective and easy operating method in LD and implant flap breast reconstruction.