[摘要]目的 比较单蒂横行腹直肌肌皮瓣和腹部游离皮瓣重建术后乳腺癌患者满意度。 方法 收集2011年9月～2015年10月采用单侧带蒂TRAM或游离腹部皮瓣并完成BREAST-Q的单侧乳房重建术患者的一般资料和临床数据。采用BREAST-Q评定比较乳房满意度、手术满意度、胸部和腹部健康状况。 结果 带蒂TRAM皮瓣重建患者乳房满意度得分高于游离腹部皮瓣重建患者，差异有统计学意义(P=0.02)。术后<3年患者的乳房满意度评分也存在类似差异。然而，在术后≥3年两组间患者间则差异无统计学意义(P>0.05)。 结论 行单侧带蒂TRAM皮瓣乳房重建的患者较单侧游离腹部皮瓣重建者乳房初始满意度更好，但两种重建术的长期满意度无差异。

    [关键词] 乳房重建术；患者满意度；肌皮瓣；游离皮瓣

    [中图分类号] R737.9 [文献标识码] A [文章编号] 1673-9701(2016)19-0013-04

    [Abstract] Objective To compare the satisfaction of patients after unilateral breast reconstruction by unipedicled transverse rectus abdominis myocutaneous (TRAM) flap and abdominal free flap. Methods General material and clinical data of patients who were given unilateral breast reconstruction by unipedicled TRAM flap or abdominal free flap with completed BREAST-Q from September 2011 to October 2015 were selected. BREAST-Q was used to evaluate the satisfaction of patients towards breast reconstruction ......