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乳腺癌改良根治术后乳房即刻再造(附11例报告)
引用本文:陈君雪,亓发芝,张宏伟,秦新裕,顾建英,吴坤南.乳腺癌改良根治术后乳房即刻再造(附11例报告)[J].中国临床医学,2000,7(1):20-21.
作者姓名:陈君雪  亓发芝  张宏伟  秦新裕  顾建英  吴坤南
作者单位:1. 上海医科大学中山医院普外科,200032
2. 上海医科大学中山医院整形外科,200032
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.

关 键 词:乳癌  乳房再造  TRAM

The Immediate Breast Reconstruction After Mastectomy
Chen Junxue,Qi Fazhi,Gu Jianying,Zhang Hongwei,Wu Kunnan,Qin Xinyu.The Immediate Breast Reconstruction After Mastectomy[J].Chinese Journal Of Clinical Medicine,2000,7(1):20-21.
Authors:Chen Junxue  Qi Fazhi  Gu Jianying  Zhang Hongwei  Wu Kunnan  Qin Xinyu
Abstract: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.
Keywords:Breast reconstruction TRAM Breast cancer
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