| 胸壁缺损34例重建体会 |
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| 引用本文： | 李智勇,齐东海. 胸壁缺损34例重建体会[J]. 陕西医学杂志, 2010, 39(4): 470-472 |
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| 作者姓名： | 李智勇 齐东海 |
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| 作者单位： | 1. 解放军第451医院胸心外科,西安,710054
2. 解放军第3医院 |
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| 摘 要： | 目的:探讨胸壁缺损后不同外科技术重建的效果。方法:对34例不同病因的胸壁缺损患者采用不同方法胸壁重建。骨性胸廓重建采用自体组织(肋骨条、腓骨、髂骨、阔筋膜、肌瓣)或人工材料(肋骨接骨板、复合肋骨接骨板、Dacron片、聚四氟乙烯(PTFE)网片+钛合金条、金属丝支架+大网膜瓣、Dacron+骨水泥三明治式复合体)。软组织修复主要用局部转移皮瓣、肌皮瓣或大网膜瓣。结果:全组胸廓外观满意、呼吸功能恢复好,无手术死亡。1例因感染摘除自体骨植入物。结论:肋骨接骨板对中小面积骨性胸廓缺损的重建效果好,使用简单;Dacron片+骨水泥三明治式复合体适于大面积骨性胸廓缺损重建;背阔肌瓣和大网膜瓣修复软组织效果较好,后者对因感染引起的胸壁缺损效果更佳。
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| 关 键 词： | 胸壁缺损 胸壁重建 肋骨接骨板 大网膜瓣 |
Reconstruction of chest wall defect:a 34 cases report |
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| Li Zhiyong,Qi Donghai. Reconstruction of chest wall defect:a 34 cases report[J]. Shaanxi Medical Journal, 2010, 39(4): 470-472 |
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| Authors: | Li Zhiyong Qi Donghai |
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| Affiliation: | Department of Cardiothoracic Surgery, The st Hospital of PLA(Xi’an 710054) Li Zhiyong Qi Donghai |
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| Abstract: | Objective:To approach the effects of chest wall reconstruction in patients with chest wall defect. Methods:From Jan. 2000 to Jan. 2009, 34 patients with chest wall defect underwent chest wall recon struction using several kinds of procedures and materials. The materials to repair the bony chest wall includes autografts(rib band,fubula, iliac bone flap, tensor fascial plate,muscle flap),and artificial materials (rib bonding plate, composite rib bonding plate, Dacron, PTFE + Titanuium plate,metal framework + ... |
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| Keywords: | Chest wall defect Chest wall reconstruction Rib bonding plate Great omentum flap |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
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