Tái tạo vú bằng vạt tram có cuống là phẫu thuật đáng tin cậy đối với ung thư vú giai đoạn sớm

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Tác giả: Kim Hong Le, Đinh Tung Nguyen, Tuu Nguyen, Van Phuc Nguyen, Ngoc Huy Tran, Nhat Huy Tran, Ha Tan Anh Vi

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Journal of Clinical Medicine – Hue Central Hospital, 2020

Mô tả vật lý: tr.45725

Bộ sưu tập: Metadata

ID: 379314

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Mục tiêu: Tìm hiểu một số yếu tố ảnh hưởng đến kết quả tái tạo vú bằng vạt TRAM ở bệnh nhân ung thư vú giai đoạn sớm. Đối tượng: 41 bệnh nhân được phẫu thuật tái tạo vú bằng vạt da cơ thẳng bụng có cuống (TRAM ) sau cắt bỏ tuyến vú do ung thư từ 2017-2019 tại Trung tâm Ung bướu - bệnh viện Trung ương Huế Kết quả: Có 14/41 bệnh nhân tái tạo vú tức thì, 11/41 sử dụng cuống mạch cùng bên trong đó 95,1% bệnh nhân có BMI <
25, hơn 50% có sẹo mỗ cũ dưới rốn, 61% có thời gian mổ trung bình là 180-210 phút, 85,4% có thời gian hậu phẫu là 10-15 ngày. Tỷ lệ biến chứng thấp (14,6%), trong đó 3 biến chứng quan trọng đối với vạt TRAM có cuống so với vạt DIEP là phồng thành bụng, thoát vị thành bụng và hoại tử vạt hoàn toàn đều đạt mức 0%. Kết luận: Phẫu thuật tái tạo vú bằng vạt TRAM có cuống trên bệnh nhân ung thư vú giai đoạn sớm là phẫu thuật an toàn và đáng tin cậy trong chọn lựa phương pháp tái tạo vú trên phụ nữ Việt Nam.Objectives: Finding the clinical factors was affected by the outcomes of breast reconstruction withTRAM flap in the early breast cancer patients.Methods: The pedicled TRAM flap breast reconstruction were performed in 41 patients after nipplesparing mastectomy as well as modified radical mastectomy from 2017-2019 at Hue Central Hospital.Results: Immediate breast reconstruction was 14/41 cases, the ipsilateral pedicled TRAM flap wasusing in 11/41 cases. There is 95.1 % patient with BMI<
25, more than 50% having the abdominal scars,61% patient with operating time is 180 - 210 minutes, 85,4% spending in post opearting periode during 10-15 days. The rate of complication was 14,6%, no finding the severe complications of reconstruction in thetotal flap necrosis and hernia or bulge in this study. Conclusion: The pedicled TRAM flap was a safe and reliable procedure for choosing in breastreconstruction in Vietnam

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