腹直肌—背阔肌肌皮瓣联合应用乳房再造术

TRAM flap in conjunction with latissimus dorsi muscle flap for breast reconstruction

目的 探索一种同时修复乳房和胸壁缺损的手术方法。方法 利用下腹部横行腹直肌肌皮瓣 (下简称TRAM皮瓣 )和部分背阔肌肌皮瓣 ,为乳癌术后患者行乳房再造及胸壁缺损修复。结果 4例 8个皮瓣全部成活 ,再造乳房及胸壁缺损修复效果满意。结论 联合应用腹直肌—背阔肌肌皮瓣 ,可以同时完成乳房再造及胸壁缺损的修复 ,效果满意。

Objective To investigate a method to reconstruct the breast and repair the chest wall defects at the same time. Methods The operation procedure combined the transverse rectus abdominis myocutaneous(TRAM) flap with the latissimus dorsi muscle(LDM) flap for breast reconstruction and repair of chest wall defect. Two patients underwent delayed breast reconstruction using this technique. Results 8 flaps in the four patients survived completely. The aesthetic results were very good. Conclusion This method can be used to reconstruct breast and repair the defect of chest wall at the same time, avoiding the disadvantage in the flap transfer of TRAM or LDM.