胸壁切除及重建外科的进展  

Chest wall resection and reconstruction:an update

作　　者：龚志云[1] 徐志飞[1] 

机构地区：[1]第二军医大学长征医院胸心外科,上海200003

出　　处：《第二军医大学学报》2006年第8期895-898,共4页Academic Journal of Second Military Medical University

基　　金：上海市科学技术发展基金(024419076)~~

摘　　要：胸壁切除及重建对于外科医生仍然是一个巨大的挑战,重建的困难往往会使临床医生选择较为保守的治疗方案,达不到理想的治疗效果。近20余年来,重建材料的发展和软组织重建技术的进步让外科医生在胸壁切除时更为积极,胸壁重建取得了很大的进步,许多在过去“不可切除”的病变得到了治愈的机会。本文综述了胸壁切除治疗原则、重建方法、重建材料的选择等方面的进展以及面临的问题。Chest wall resection and reconstruction remains a severe challenge for reconstructive surgeons, which often leads to conservative treatment regimens in clinical practice, consequently resulting in poor outcomes （high morbidity and mortality）. In recent 20 years, advances in muscle flap surgery and availability of chest reconstructive prosthesis have encouraged the surgeons to take an active attitude toward chest wall resection; many ＂unresectable＂ lesions now have a chance to be resected and cured. This article reviews the problems concerning the principles for chest wall resection, reconstruction, prosthesis selection, etc. in chest wall reconstruction.

关 键 词：胸壁切除 胸壁重建 生物医学和牙科材料 

分 类 号：R655.1[医药卫生—外科学]