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应用腹直肌蒂下腹横行岛状肌皮瓣行乳房再造术8例、9个乳房,效果满意。该肌皮瓣以腹壁上动脉及其与腹壁下动脉的吻合支和伴行静脉为供血血管。由于该皮瓣组织量充足,故再造乳房外形丰满,皮瓣下一般不需植入假体。用本法手术操作简单,供区瘢痕隐蔽,不需吻合血管,安全性大,而且于再造乳房的同时可获得腹部整形的美容效果,不失为乳房再造的良好术式。文中对该手术的方法、优缺点及适应证做了介绍。
The application of rectus abdominis muscle flaps was performed in 8 cases and 9 breasts with island myocutaneous flaps. The results were satisfactory. The myocutaneous flap provides blood vessels with an anastomotic branch and accompanying veins of the superior epigastric artery and the inferior epigastric artery. Since the amount of flap tissue is sufficient, the shape of the reconstructed breast is full, and no prosthesis is generally required under the flap. With this method, the operation is simple, the donor site is covered with scars, no blood vessels need to be anastomized, and the safety is high. At the same time, the cosmetic effect of abdominal plastic surgery can be obtained while reconstructing the breast, which is a good surgical procedure for breast reconstruction. The article introduced the method, advantages and disadvantages and indications of the operation.