Schusterman M A
Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas, USA.
Clin Plast Surg. 1998 Apr;25(2):191-5.
The transverse rectus abdominis myocutaneous (TRAM) flap has become the well-accepted method for breast reconstruction using autogenous tissue. The free TRAM flap allows one to perform this procedure with minimum complications because of the improved blood supply. The design of the flap, which is based on the deep inferior epigastric vessel, also avoids sacrifice to the abdominal wall. The flap is especially well suited for immediate reconstruction after mastectomy.
横行腹直肌肌皮瓣（TRAM瓣）已成为广泛认可的利用自体组织进行乳房重建的方法。游离TRAM瓣因血供改善，能使该手术并发症最少。基于腹壁下深血管设计的皮瓣，还避免了对腹壁的损伤。该皮瓣特别适合乳房切除术后的即刻重建。
