Luan Jie, Mu Lan-hua, Fan Fei, Mu Da-li, Liu Chen, Niu Zhao-he, You Jian-Jun, Wang Sheng, Wang Ling-yu, Zheng Yi-hua
Surgery Hospital, Chinese Academy of Medical Science, Beijing 100041, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2006 Jan;22(1):5-7.
To evaluate breast reconstruction with a combined skin flap of the deep inferior epigastric perforator (DIEP) and the transverse rectus abdominis musculocutaneous (TRAM).
The DIEP and TRAM united flap was elevated with the vessel pedicle of the deep inferior epigastric perforator on the affected side and the rectus abdominis muscle pedicle on the intact side. The reconstructive breast was shaped after the deep inferior epigastric vessels were anastomosed to the internal mammary vessels or the thoracodorsal vessels ipsilaterally.
We have used the DIEP and TRAM united flaps for breast reconstruction in 17 cases. All of the flaps survived, and the reconstructed breasts were well-shaped with the follow-up of 6-18 months.
The DIEP and TRAM united flap possesses of advantages such as rich blood supply, abundant tissue volume and easy shaping. It is especially applicable to the cases who have large chest defect and need large volume tissue.
评估采用腹壁下深动脉穿支（DIEP）皮瓣与腹直肌肌皮瓣（TRAM）联合皮瓣进行乳房重建的效果。
以患侧腹壁下深动脉穿支血管蒂和健侧腹直肌肌蒂掀起DIEP与TRAM联合皮瓣。将腹壁下深血管与同侧胸廓内血管或胸背血管吻合后塑造再造乳房。
我们应用DIEP与TRAM联合皮瓣进行乳房重建17例。所有皮瓣均存活，经6～18个月随访，再造乳房外形良好。
DIEP与TRAM联合皮瓣具有血供丰富、组织量大、塑形容易等优点。尤其适用于胸部缺损大、需要大量组织的病例。
