腹部游离皮脂肪筋膜瓣在保乳术缺损修复中的应用现状

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Abstract For early-stage breast cancer, both the safety of tumor treatment and the breast shape after surgery are the same goals pursued by doctors and patients. At present, the repairing of tissue defect after breast-conserving therapy mainly depends on oncoplastic breast surgery techniques, including glands displacement and autologous tissue breast replacement. Because the breast size of the Asian women are not big enough to undergo repairing by simple glands displacement after breast-conserving surgery, using an autologous tissue to fill up the defect can produce good cosmetic outcomes. However, the latissimus dorsi muscle flap, transverse rectus abdominis-myocutaneous flap, inferior abdominal artery perforator flap, and so on, which have been tried in the past, are difficult to carry out due to the difficulty of surgery and requirement of professional microsurgical techniques. Japanese scholar Kijima is the first one who use an autologous free dermal fat graft for breast defect tissue repair, which shows good cosmetic outcomes and simple to operating. This method is expected to be promoted clinically. Due to the short history of this operation, it still needs a long-term follow-up with large samples to scientifically evaluate the long-term postoperative cosmetic outcomes and complications.

Key words： Breast cancer Breast-conserving surgery Abdominal free dermal fat graft Plastic technique

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	ZHAO Ye ZHAO Jing WANG Yajun KANG Hua▲

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ZHAO Ye ZHAO Jing WANG Yajun KANG Hua▲. Application status of defect repair of abdominal free dermal fat graft in breast-conserving surgery[J]. 中国医药导报, 2020, 17(26): 30-33.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I26/30

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