Shaw W W
Division of Plastic and Reconstructive Surgery, University of California, Los Angeles School of Medicine, USA.
Clin Plast Surg. 1998 Apr;25(2):267-74.
The authors substantial experience with the superior gluteal free flap for breast reconstruction indicates that this is a more difficult but important free flap for breast reconstruction. Compared with the standard transverse rectus abdominis myocutaneous (TRAM) free flap, it is a much less forgiving operation with many specific technical details. With careful attention to details on flap design, recipient vessel selection anastomsis, and flap insetting, the success rate and morbidity of the gluteal flap operation are highly acceptable. For patients unsuitable for the TRAM flap for autologous tissue reconstruction, this is a very valuable alternative. It can achieve some spectacular results in breast reconstruction in terms of volume, replacement, and projection--even in very thin patients.
作者在应用臀上动脉游离皮瓣进行乳房重建方面的丰富经验表明，这是一种难度较大但对乳房重建很重要的游离皮瓣。与标准的腹直肌肌皮（TRAM）游离皮瓣相比，该手术容错率更低，有许多特定的技术细节。通过仔细关注皮瓣设计、受区血管选择吻合以及皮瓣植入等细节，臀瓣手术的成功率和发病率是完全可以接受的。对于不适合采用TRAM皮瓣进行自体组织重建的患者，这是一个非常有价值的替代方案。在乳房重建方面，它在体积、替代和隆起方面都能取得一些惊人的效果——即使是对非常消瘦的患者也是如此。
