【摘要】 目的　探索胸、背、腋部恶性肿瘤及胸壁放射性溃疡切除后创面的修复方法。方法　为胸、背、腋部恶性病变累及腋窝、胸壁的放射性溃疡以及乳癌根治术后复发者 8例进行了乳房劈裂瓣手术治疗。于乳房上方设计T形或下方设计倒T形切口 ,形成乳房劈裂瓣 ,经旋转推进转移修复肿瘤或溃疡切除后创面。结果　 8例中除 1例乳房瓣远端皮缘坏死外 ,余均血运良好 ,切口一期愈合。供瓣乳房下垂同时得到纠正 ,受侧胸部较为丰满 ,但付出损伤健全乳房形态的代价 ,乳头向内或外侧移位。结论　乳房劈裂瓣是修复胸、背、腋部恶性肿瘤或术后复发及胸壁放射性溃疡切除后创面的良好方法。适用于老年及身体虚弱者 ,年轻患者因有损于乳房形象须慎用。更多还原

【Abstract】 Objective To evaluate a method to repair the defects after the secondary tumor excision and radiation ulcer in the chest,back and axilla. Methods Eight patients,with the defects after the secondary tumor excision and the radiation ulcer in the chest,back and axilla,were undergoing the treatment.A “T" shape incision or up-side-down “T" shape incision was designed above the breast or along the inframammary fold below breast,just close to the defect. A split-breast flap was raised above the pectoralis major or deep fascia. The defect was then repaired with a rotating and advancing way. Results Eight patients were repaired in one stage. Blood circulation of the flaps was abundant except one with distal edge necrosis. The ptosis breast was corrected and the fullness of the chest wall was also achieved. But,the Nipple of the opposite health breast was lost the original position to the lateral or medial. Conclusions The above-mentioned technique may be an efficient method to repair the defects after the secondary tumor excision and radiation ulcer in the chest,back and axilla. It is adapt to the old patients whose health is worse,but it is not good for the young patients resulted from the injury breast. ;更多还原