应用聚丙烯网修补腹直肌肌皮瓣乳房再造后的腹壁缺损  

Use of polypropylene mesh for abdominal defect after TRAM flap transfer

作　　者：王从峰[1] 乔群[1] 戚可名[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院整形外科,北京100032

出　　处：《中华医学美学美容杂志》2004年第5期270-273,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨横行腹直肌肌皮瓣 (transverserectusabdominismyocutaneousflap ,TRAM瓣 )乳房再造后腹壁缺损较为理想的修复方法。方法　应用聚丙烯网修复下腹部TRAM瓣转移后遗留的腹壁缺损 2 4例 ,蒂部前鞘直接缝合。结果　 2 4例应用聚丙烯网修复乳房再造后的下腹壁缺损 ,不仅修复了缺损 ,而且同时取得了腹壁美学效果。住院期间无腹腔综合征及感染发生。平均随访 1年 ,未发现腹壁疝、腹壁膨隆、腹壁松弛 ,腹部整形效果持久 ,功能良好。结论　应用聚丙烯网修复TRAM瓣乳房再造后的腹壁缺损是较为理想的修复方法 ,不仅能保持腹壁的完整性和各种生理功能 ,减少并发症的发生 ;同时 ,达到了腹壁整形的目的。Objective To investigate the ideal method of repair ing the abdominal defect after the TRAM flap transfer. Methods 24 cases of the abdominal defect after TRAM flap transfer were repaired by a polypropypene mesh. The anterior rectus sheaths on the pedicle were directel y sutured. Results Using of polypropylene mesh not only r epaired the abdominal defect but also achieved a superior abdominal aesthetic re sult. No ″abdominal compartment syndrome″ and infection happened d uring the ho spitalization. Mean patient follow-up was 1 year. No abdominal hernia, bulge an d laxity were encountered. The result of the abdominoplasty was continuous and t he functions of the abdomen were good. Conclusions It is an ideal method that using of polypropylene meth repairs the defect of abdomen . It keeps the integrity and the functions of the abdomen, decreases the complica tions, and at the same time gets the abdominoplasty effect.

关 键 词：聚丙烯网 修补 腹直肌肌皮瓣 乳房再造 腹壁缺损 

分 类 号：R622[医药卫生—整形外科]