CAJ | 학술논문

目的探讨乳腺癌乳房切除后,带蒂横行腹直肌肌皮瓣(transverse rectus abdominis musculo cutaneous flap,TRAM)即刻乳房重建的方法及临床效果.方法对2007年3月至2008年6月间10例乳房切除的乳腺癌患者行即刻带蒂TRAM乳房重建术,其中采用双蒂TRAM 6例,单蒂TRAM 4例.术中均用聚丙烯补片修补腹壁缺损.结果 10例患者重建乳房完全成活.1例发生乳房转移皮瓣感染,1例发生腹壁切口缘皮肤坏死.重建乳房形态:优8例,良2例.随访3～15月,所有病例无局部复发和远处转移.结论带蒂TRAM乳房重建术在重建缺损乳房的同时达到了腹壁整形的效果,是一种较好的乳房重建方法.
목적 탐토유선암유방절제후,대체횡행복직기기피판(transverse rectus abdominis musculo cutaneous flap,TRAM)즉각유방중건적방법급림상효과.방법 대2007년3월지2008년6월간10례유방절제적유선암환자행즉각대체TRAM유방중건술,기중채용쌍체TRAM 6례,단체TRAM 4례.술중균용취병희보편수보복벽결손.결과 10례환자중건유방완전성활.1례발생유방전이피판감염,1례발생복벽절구연피부배사.중건유방형태:우8례,량2례.수방3～15월,소유병례무국부복발화원처전이.결론 대체TRAM유방중건술재중건결손유방적동시체도료복벽정형적효과,시일충교호적유방중건방법.
Objective To evaluate the clinical application of immediate breast reconstruction with the pedicle transverse rectus abdominus myocutaneons(TRAM)flap.Methods Ten breast cancer patients underwent immediate breast reconstruction with the pedicle TRAM flap after mastectomy,among which 4 cases used single pediele TRAM and 6 cases used bipedical TRAM.Polypropypene mesh were applied on all cases of patients to repair the abdominal defect. Results All the breast reconstructions were successful.Complications included grafting flap infection in one case and skin necrosis on partial abdominal skin flap in one case.The reconstructed breasts had a very good shape in 8 cases,and good in 2 cases.No local recurrence and distant metastasis occurred in the patients during the follow-up time ranging from 3 to 15 months. Conclutions Immediate breast reconstruction with the pedicle TRAM flap is an ideal breast reconstruction method for those patients undergoing mastectomy not only because it reconstructs the defective breast but for its cosmetic effect on the abdominal wall.