摘要
目的:探讨采用保留部分前鞘的下腹部横行腹直肌肌皮瓣(TRAM)即刻乳房重建在乳腺癌根治中的应用及效果。方法:对接受乳腺癌根治术的14例患者(Ⅰ、Ⅱ期9例,Ⅲ期5例),于根治术即刻采用保留部分前鞘的TRAM皮瓣重建乳房。所有患者术后均常规行放化疗或内分泌治疗。结果:本组14例皮瓣均成活,无并发症。随访2～26个月,未见肿瘤复发和转移,未见腹壁疝和腹壁膨出发生。重建乳房外形可,与健侧对称性可,弹性好,患者自我满意度高。结论:部分筋膜法TRAM皮瓣即刻再造重建,可保持传统TRAM皮瓣手术的效果并降低术后腹壁并发症的发生率。放化疗和内分泌治疗不影响皮瓣的成活。
OBJECTIVE： To evaluate the therapeutic effect of immediate breast reconstruction with transverse rectus abdominis musculocutaneous flap reserving partial anterior sheath （TRAM-RPAS） after radical mastectomy of breast cancer. METHODS： Fourteen cases of breast cancer （9 cases in stage Ⅰ or Ⅱ and 5 in stage Ⅲ） received radical resection and breast reconstruction with TRAM-RPAS flaps at the same stage. All of them received routine chemotherapy, radiotherapy or endocrine therapy after operation. RESULTS： All flaps in 14 cases survived without complications. With a follow up of 2-26 months, no recurrence, metastasis, lateral ventral syndrome and bulge of abdominal wall were found. All the reconstructive breasts appeared good outline, symmetry and elasticity compared with their uninjured sides. Pa- tients had well satisfaction and confidence. CONCLUSIONS： TRAMRPAS flap can achieve the same results as traditional TRAM flap in the one-stage breast reconstruction, while the incidence of abdominal complication is lower for TRAM RPAS flap. Chemotherapy, radiotherapy and endocrine therapy have no effect on flap survival.
出处
《中华肿瘤防治杂志》
CAS
2009年第3期216-218,共3页
Chinese Journal of Cancer Prevention and Treatment
