Mu L, Yan Y, Li S, Li Y, Huang L, Ling Y
Department of Anatomy and Pathology, Plastic Surgery Hospital (Institute), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, P.R. China.
J Reconstr Microsurg. 2001 Nov;17(8):611-4. doi: 10.1055/s-2001-18816.
The transverse rectus abdominis myocutaneous (TRAM) flap has become the gold standard for autologous breast reconstruction in the last decade. The deep inferior epigastric perforator (DIEP) flap is a refinement of the conventional myocutaneous flap, which is based on anatomic studies of the abdominal wall. These authors have performed a transparent morphologic study of the abdominothoracic wall, in order to visualize the vessel architecture and relationships. The methodology of specimen processing, the anatomic findings, and modifications of surgical incisions are illustrated and discussed.
在过去十年中，腹直肌横形肌皮瓣（TRAM瓣）已成为自体乳房重建的金标准。腹壁下深动脉穿支（DIEP）瓣是传统肌皮瓣的改进，它基于腹壁的解剖学研究。这些作者对腹胸壁进行了透明形态学研究，以便观察血管结构及其相互关系。文中阐述并讨论了标本处理方法、解剖学发现以及手术切口的改良。
