带蒂横向腹直肌肌皮瓣在乳腺癌术后即刻重建乳房中的应用  

Application of pedicled transverse rectus abdominis muscle flap in reconstructing the breast immediately after breast cancer operation

作　　者：黄胜超 邱璞 梁忠锃 颜泽铭 罗康维 黄宝怡 郁丽妍 陈韦彰 李建文 张远起 Huang Shengchao;Qiu Pu;Liang Zongzheng;Yan Zeming;Luo Kangwei;Huang Baoyi;Yu Liyan;Chen Weizhang;Li Jianwen;Zhang Yuanqi(Department of Breast Surgery,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,China)

机构地区：[1]广东医科大学附属医院乳腺外科,湛江524001

出　　处：《中华内分泌外科杂志》2021年第2期117-121,共5页Chinese Journal of Endocrine Surgery

基　　金：广东省医学科研基金(B2020036)。

摘　　要：目的探讨乳腺癌术后带蒂横向腹直肌肌皮瓣(transverse rectus abdominis muscle,TRAM)重建乳房的临床疗效。方法对2018年1月至2019年12月广东医科大学附属医院乳腺外科收治23例行乳腺癌术后即刻TRAM乳房重建术患者的临床资料进行回顾性分析。结果23例患者手术所需时间240~360 min,平均时间300 min;术中出血120~200 ml,平均170 ml;所有患者皮瓣均顺利成活,2例并发局部脂肪坏死;术后随访时间6~12个月未见肿瘤局部复发及转移,乳房外形良好。结论带蒂横向腹直肌肌皮瓣重建乳房能弥补女性患者因乳腺癌导致乳房缺失的遗憾,能给女性患者带来生活和工作的双重自信,技术安全可靠,值得推广。Objective To investigate the clinical effect of the transverse rectus abdominismuscle(TRAM)on reconstruction of the breast.Methods The clinical data of 23 patients receiving TRAM breast reconstruction in our department from Jan.2018 to Dec.2019 were retrospectively analyzed.Results The operation time of 23 patients ranged from 240 to 360 mins,andthe average time was about 300 mins.Intraoperative bleeding was about 120 to 200 ml,with an average of 170 ml.All the flaps survived successfully,but 2 cases were complicated with local fat necrosis.The postoperative period was between 6 and 12 months.No local tumor recurrence or metastasis was found inall patients during postoperative follow-up,and the breast shape was maintained in good condition.Conclusion TRAM can make up for the regret of breast loss caused by breast cancer in female patients.It can bring confidence in life and work to female patients,and the technology is safe and reliable,which is worthy of promotion.

关 键 词：乳腺癌 带蒂横向腹直肌肌皮瓣 乳房重建 

分 类 号：R655.8[医药卫生—外科学] R737.9[医药卫生—临床医学]