Harden J T, Girard N
School of Nursing, University of Texas Health Sciences Center, San Antonio.
AORN J. 1994 Aug;60(2):184-92. doi: 10.1016/s0001-2092(07)62737-9.
Most patients consider breast reconstruction an essential part of total breast cancer management. In the wake of the silicone-gel implant controversy, more women are considering breast reconstruction using their own tissue. Since 1982, the transverse rectus abdominis myocutaneous (TRAM) flap has become a well-established and popular method of reconstruction. For many women, TRAM flap reconstruction is the surgery of choice following mastectomy. It offers victims of breast cancer the potential for soft, natural-appearing breast mounds without the risks associated with other types of flaps or manufactured implants. A description of autogenous tissue grafting using the TRAM flap for breast reconstruction is provided with associated perioperative nursing care guidelines and potential complications.
大多数患者认为乳房重建是乳腺癌综合治疗的重要组成部分。在硅胶植入物引发争议之后，越来越多的女性考虑使用自身组织进行乳房重建。自1982年以来，横行腹直肌肌皮瓣（TRAM瓣）已成为一种成熟且受欢迎的重建方法。对许多女性而言，TRAM瓣重建是乳房切除术后的首选手术方式。它为乳腺癌患者提供了拥有柔软、外观自然的乳房隆起的可能，且没有其他类型皮瓣或人造植入物相关的风险。本文介绍了使用TRAM瓣进行自体组织移植乳房重建的方法，并给出了相关围手术期护理指南及潜在并发症。
