Pompei S, Caravelli G, Varanese A, Fanini F, Feijò W
Istituto Regina Elena per lo Studio e la Cura dei Tumori, Roma.
Minerva Chir. 1990 Dec;45(23-24):1451-8.
The paper compares the results of 34 patients undergoing reconstructive surgery following radical mastectomy using a TRAM flap with those reported in the literature. The parameters taken into consideration in this study were indications for reconstructive surgery, morbidity and the results of reconstruction. The monopedicle flap offered good cosmetic results and a low rate of complications if correctly and selectively used. This selection should exclude high-risk patients. The bipedicle flap is an effective alternative and the morbidity rate was no higher among the abdominal donor.
本文将34例行根治性乳房切除术后采用横行腹直肌肌皮瓣(TRAM瓣)进行重建手术的患者的结果与文献报道的结果进行了比较。本研究考虑的参数包括重建手术的适应症、发病率和重建结果。如果正确且有选择地使用单蒂瓣,可获得良好的美容效果且并发症发生率较低。这种选择应排除高危患者。双蒂瓣是一种有效的替代方法,腹部供区的发病率并不更高。