肿瘤术中所致胸壁缺损的修复重建  

Repair and Reconstruction of Chest Wall Defect After Tumor Resection

作　　者：肖高明[1] 周石林[1] 陈跃军[1] 欧阳立志[1] 谭正[1] 梁剑平[1] 周晓[1] 

机构地区：[1]湖南省肿瘤医院胸外科,湖南长沙410006

出　　处：《医学临床研究》2005年第9期1260-1262,共3页Journal of Clinical Research

摘　　要：【目的】探讨胸壁缺损的部位、大小以及程度与胸壁重建的各种手术方法的关系。【方法】对126例不同部位、大小及程度的胸壁缺损采用多种材料进行胸壁修复重建手术或局部肌瓣覆盖或保留缺损或直接缝合。【结果】126例肿瘤术中所致胸壁缺损的修复重建手术均获成功,无手术死亡。【结论】小范围骨性胸壁缺损可直接缝合或局部肌瓣覆盖或保留缺损,对较大胸壁缺损者主张采用prolene网或prolene网与骨水泥的“夹心”方法修补胸壁缺损,并在皮瓣与人工材料之间应有肌瓣或大网膜相隔,能提高手术成功率。[Objcctive]To study the relationship of the location,area and degree of chest wall defect and the different reconstruction techniques. [Methods]According to the location,area and degree of chest wall defect, repair and reconstruction of chest wall were performed with different materials on 126 cases, or some defects were sutured directly or recovered with muscle flap or remained. [Results]There was no death in operations. Repair and reconstruction of chest wall defect were all suceessful in 126 cases. [Conclusion]Smaller defects of chest wall can be sutured directly or recovered with muscle flap or remained. I.arger defects are repaired and reconstructed with prolene net or the “sandwich” of prolene net and bone cement. It can improve the operation success if there is a pedicled muscle flap or omentum majus between the skin flap and the artificial materials.

关 键 词：肿瘤/外科学 胸部损伤/外科学 

分 类 号：R655[医药卫生—外科学]