摘要
应用下腹部横形腹直肌肌皮瓣进行4例乳房再造,其中2例为皮瓣带蒂转移,于乳癌根治切除术后即刻完成乳房再造;2例为血管吻合肌皮瓣游离移植,分别于根治术后2个月和5年进行乳房再造。术后游离皮瓣完全成活,带蒂皮瓣分别于术后2~3周出现脂肪液化,经换药痊愈。4例乳房外形基本满意。随访10个月~18个月,2例游离移植未见异常,1例带蒂转移于术后1年出现腹壁薄弱膨隆,另1例失访。
i Senkai;Xu Jun,
et al. (PlasticSurgery Hospital,Beijing 100041.) Rectus femoris muscle of the lower abdomen
was used as myocutaneous flap in the recon-struction of the breast in 4 patients.of which , in 2
cases the reconstruction was carried out im-mediately following the radical mastectomy for
breast cancer by using trancfer of the pedicled my-ocutaneous flap,and in the other two
cases,the vascularized free myocutaneous flap was used 2months and 5 years after the
radical mastectomy,tespectively. The vascularized free myocuta-neous flaps were
survived,however,in the pedicled myocutaneuus flap group,the fat of the ftapshad liquefaction
2-3 weeks after operation. The latter were healed after repeatea dressings. Theexternal
appearance of the 4 reconstructed breasts looked sattisfactory. The patients wete follwedup for
10 to 18 months,2 patients had no ill effects, while the 2 pedicled myocutaneous flaps,inwhich
1 patient had bulging of the weakcned abdominal wall,and the other had lost from followup.
出处
《中国修复重建外科杂志》
CAS
CSCD
1995年第1期26-28,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
乳房再造
腹直肌肌皮瓣
游离移植
带蒂转移
Reconstruction of breast
Rectus femoris myoctuaneous flap
Free graft
Transferof
pedicled graft.