Ninković M, Anderl H, Hefel L, Schwabegger A, Wechselberger G
University Clinic for Plastic and Reconstructive Surgery, Innsbruck, Austria.
Br J Plast Surg. 1995 Dec;48(8):533-9. doi: 10.1016/0007-1226(95)90040-3.
In breast reconstruction with a free flap following mastectomy, the recipient vessels most widely used are in the axillary system, which limits flap movement and flexibility in breast shaping. In addition, scarring and fibrosis can make dissection of the vessels difficult. We have performed 22 breast reconstructions using a free transverse rectus abdominis myocutaneous (TRAM) flap anastomosed to the internal mammary (thoracic) vessels. There has been no flap failure. The surgical techniques and the advantages and limitations of the internal mammary system are presented and the internal mammary vessels compared with the axillary vessels as a recipient vascular system.
在乳房切除术后采用游离皮瓣进行乳房重建时，最常用的受区血管位于腋窝系统，这限制了皮瓣在乳房塑形中的移动和灵活性。此外，瘢痕形成和纤维化会使血管解剖变得困难。我们采用游离腹直肌肌皮瓣（TRAM瓣）与胸廓内血管吻合进行了22例乳房重建。未出现皮瓣坏死。本文介绍了胸廓内系统的手术技术及其优缺点，并将胸廓内血管与腋窝血管作为受区血管系统进行了比较。
