摘要
目的：改善乳腺癌患者术后胸部畸形，探讨乳腺癌手术后乳房即刻再造的操作技术和整形效果。方法：乳腺癌改良根治术后，应用下腹横形腹直肌肌皮瓣（ＴＲＡＭ）进行乳房再造。结果：应用ＴＲＡＭ皮瓣即时乳房再造１１例，效果良好。其中１例皮瓣部分坏死，４例因脂肪变性局部硬结形成，最初１例发生腹壁疝。结论：即时乳房再造安全可行，能够满足肿瘤治疗和形体美容两方面的要求，提高患者的生存质量。
Objective: The immediate breast reconstruction with transverse rectus abdominis myocutaneous (TRAM) flap was performed to enhance the mental and physical wellbeing of patients. Methods: The immediate breast reconstruction with TRAM flap was performed in 11 patients. The patient selection, flap design and our operative technique were introduced in detail. Results: All the 11 patienst were satisfied with the results. One patient had partial flap necrosis. 4 patienst had fat induration. The first one had abdominal hernia. Conclusion: The immediate breast reconstruction with TRAM flap is safe and effective. It significantly improves the patient's quality of life.
作者
陈君雪
亓发芝
Chen Junxue Qi Fazhi Gu Jianying Zhang Hongwei Wu Kunnan Qin Xinyu (Departments of General Surgery and Plastic and Reconstructive Surgery, Zhongshan Hospital, Shanghai Medical University, Shanghai, 200032)
