柔软固体硅橡胶假体修复Poland综合征胸壁畸形

目的 探索Poland综合征胸壁畸形修复的方法。方法 按照Poland综合征不同个体胸壁畸形的形态定制柔软固体硅橡胶假体，柔软度接近人的胸大肌。手术经畸形胸壁外侧6cm长切口，在畸形区域紧贴肋骨表面分离，将定制假体置入分离出的腔隙内。结果 自2000年10月，7例男性Poland综合征胸壁畸形患者，年龄18～45岁，采用了柔软固体硅橡胶假体置入术，术后随访3～17个月，均获得了较为满意的胸部外观，对称性和柔软度，其中2例术后有积液，经抽吸后消失。结论 采用柔软固体硅橡胶假体修复男性Poland综合征胸壁畸形可获得与健侧接近的柔软度和外形，具有方法简便、手术创伤小的优点。

Reconstruction of chest wall deformity in Poland''s syndrome with soft silicone prosthesis

Objective To explore a method for reconstruction of Poland's chest wall deformity. Methods The customized, textured silicone prosthesis was fabricated from a soft silicone polymer that approximated to the softness of the pectoralis major muscle. A lateral incision of 6 cm on the affected chest was made. After a subcutaneous pocket above the ribs was created through the incision, the prosthesis was placed in the pocket. Results Since October 2000, chest wall reconstruction for Poland's syndrome deformity has been performed in 7 male patients (18 to 45 years) with the customized soft silicone prosthesis. Follow-up for 3 to 17 months showed that all patients were satisfied with the aesthetical results. Seroma occurred in 2 patients, and needle aspiration was used to solve the problem. Conclusion This method is simple and less traumatic. The reconstructed chest wall approximates to the softness and appearance of the contralateral pectoralis muscle.;