摘要
乳房重建手術對外科醫師來說，是項富挑戰的工作。國泰綜合醫院在過去6年內，對乳癌患者以（一）組織擴張器及義乳植入，（二）橫向腹直肌皮自由皮瓣，（三）擴背肌肌皮瓣三種術式重建其乳房。本文主要內容為對以上三種乳房重建法之優劣比較及結果分析。組織擴張器及義乳植入法因為術式簡易，但其療程過長，且效果平平，併發症發生率高，較不為患者接受；以橫向腹直肌皮自由皮瓣重建之乳房自然，惟其手術時間長，術式複雜，需有良好顯微手術經驗之整形外科醫師為之，方有較好之手術結果；而擴背肌肌皮瓣法，術式簡單併發症發生率低，手術結果良好，病人接受度高。我們認為擴背肌肌皮瓣對大多數中國婦女之乳房重建為最佳之選擇。
關鍵字
無資料並列摘要
In a 6-year period of retrospective study, the results of 3 methods of breast reconstruction after mastectomy were compared. The tissue expansion and implant (TEI) method was found to offer an acceptable reconstruction but it was associated with a higher rate of complications and lower rate of patient satisfaction. Autogenous tissue transfer, latissimus dorsi (LD) myocutaneous flap and free transverse rectus abdominis myocutaneous (TRAM) flap provided a more satisfactory reconstruction with fewer complications as well as a higher patient satisfactory rate. Free TRAM flap exhibited the best aesthetic results, but the procedure is meticulous and time consuming. In this series we have found that breast reconstruction with LD myocutaneous flap suited well in most of the patients who had small or medium sized breast, no major complications in this group was noted and the patient satisfactory rate is high.