Lacotte B, Lejour M, Abboud M, Zielonka E
Service de Chirurgie Plastique, Hôpital Universitaire Brugmann, Bruxelles, Belgique.
Ann Chir Plast Esthet. 1994 Feb;39(1):77-86.
The myocutaneous rectus abdominis flap described by Hartrampf was used for 156 breast reconstructions between 1982 and 1992. 107 reconstructions were done with one pedicle. 142 were delayed reconstructions. Partial necrosis of the flap occurred in 10% of the cases in bipedicled flaps and 20% in unilateral flaps. No hernia occurred in this series. Cosmetic results are considered satisfactory or very satisfactory in 59% of the cases when evaluated by the medical team and 76.5% when evaluated by the patients. As a conclusion of this study, the TRAM flap is preferred in delayed reconstructions when local and general conditions are suitable, rather than latissimus dorsi flap reconstructions which require an implant.
1982年至1992年间，Hartrampf描述的腹直肌肌皮瓣被用于156例乳房重建手术。107例重建采用单蒂。142例为延迟重建。双蒂皮瓣病例中10%发生皮瓣部分坏死，单蒂皮瓣病例中20%发生坏死。本系列未发生疝。经医疗团队评估，59%的病例美容效果为满意或非常满意；经患者评估，76.5%的病例美容效果为满意或非常满意。作为本研究的结论，当局部和全身条件适宜时，延迟重建首选横行腹直肌肌皮瓣（TRAM瓣），而非需要植入物的背阔肌瓣重建。
