下腹横行岛状肌皮瓣乳房再造术

BREAST RECONSTRUCTION BY RECTUS ABDOMINIS MUSCULOCUTANEOUS FALP

应用腹直肌蒂下腹横行岛状肌皮瓣行乳房再造术8例、9个乳房,效果满意。该肌皮瓣以腹壁上动脉及其与腹壁下动脉的吻合支和伴行静脉为供血血管。由于该皮瓣组织量充足,故再造乳房外形丰满,皮瓣下一般不需植入假体。用本法手术操作简单,供区瘢痕隐蔽,不需吻合血管,安全性大,而且于再造乳房的同时可获得腹部整形的美容效果,不失为乳房再造的良好术式。文中对该手术的方法、优缺点及适应证做了介绍。

Breast reconstruction was carried out with rectus abdominis musculocutaneous flap on 8 women (9 breasts) with defect of breast, and perfect result was obtained on all the patients. The random-pattern flap which was normally excised in an abdominal lipectomy was used to cover the defect of breast. The rectus abdominis of the flap was used to fill the reconstructive breast and to carry the vascularization from the internal mammary artery. The advantages of the method are as follow; (1)The waist - line is reduced by closing the musculoaponeurtic defect; (2)The scar of the donor area is well hidden by the abdomino-plasty;(3)The breast reconstruction needs not using an artificial implant. The disadvantage is a risk of postoperative herniation if the suture tears.