摘要
目的探讨乳腺癌根治术后双蒂横行腹直肌肌皮瓣(transverse rectus abdominis musculo-cutaneous flap,TRAM)乳房再造的手术方法及临床应用。方法对5例伴有剖腹产史的乳腺癌患者行双蒂TRAM瓣乳房再造术,术中切取双侧腹直肌作为转移皮瓣的蒂,转移至根治术后胸壁缺损处,塑造乳房外形,采用局部皮瓣再造乳头,游离皮瓣再造乳晕。结果4例患者再造乳房完全成活,形态自然,外形逼真,手感好;1例部分皮瓣坏死,面积3cm×2cm。结论双蒂TRAM瓣乳房再造术对有剖宫产史的乳腺癌患者是值得推荐的好方法,并非禁忌证。
Objective To study the operational method and the clinical application of breast reconstruction with the bipedical transverse rectus abdominis. Methods 5 cases of breast reconstruction were performed with bipedical transverse rectus abdominis post mastectomy, and 3 cases of nipple-areola reconstruction. Immediate reconstruction was 3 cases, and delayed reconstruction was 2 cases. Results 4 cases of the breast reconstruction were survival, the morphologies were natural, and touch feeling was normal. Only one case skin flap was partial necrosis, nearly 3cm× 2cm. Condutions The breast reconstruction with bipedical transverse rectus abdominis is a good choice for breast cancer patients with caesarotomy scar.
出处
《中华医学美学美容杂志》
2006年第3期147-150,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
乳腺癌
乳房再造
双蒂横行腹直肌肌皮瓣
Breast cancer
Breast reconstruction
Ransverse rectus abdominis myocutaneous flap
