摘要目的 探讨脂肪抽吸法在修整自体皮瓣法乳房再造术后皮瓣供区“猫耳”畸形中的效果.方法 选取2012年5月至2014年9月16例自体皮瓣法乳房再造术后的患者,采用脂肪抽吸法对供区皮瓣处遗留“猫耳”畸形行二期修整,术后局部加压1个月,定期随访观察“猫耳”畸形变化情况.结果 术后随访6～8个月,“猫耳”畸形隆起外观消失,局部皮肤平整,未发现局部凹陷、感染、皮肤坏死等并发症,患者均对局部外形满意.结论 选择性应用脂肪抽吸法对自体皮瓣法乳房再造术后供区皮瓣遗留的“猫耳”畸形进行修整,具有无附加切口瘢痕、操作简便等优点,是一种有效的修整自体乳房再造术后供区“猫耳”畸形的方法.

abstractsObjective To investigate the application of liposuction in refining the dog-ear deformity following autologous flap breast reconstruction.Methods Between May 2012 and September 2016,16 patients with dog-ear deformity in the donor site following autologous flap breast reconstruction were treated with liposuction.All the patients were female with an average age of 40.6 years (range,32-47 years).After the operational compression garment was used for at least one month.Regular follow-up was performed after the above operation.Results The follow-up period lasted for 6 to 8 months.The dog-ear deformity was restored to normal appearance.All cases achieved satisfactory results without complications such as local depression,infection,skin necrosis etc.Conclusions For some of the dog-ear deformity following autologous flap breast reconstruction,liposuction is a good and simple method without adjuvant incisions.