摘要
外科医师经常会遇到一些较大的胸腹壁缺损,对于这些复杂缺损,可能需要跟整形外科医师紧密合作,使用多种技术才能成功完成修复重建。而先决条件是使用人工材料及带血运的自身软组织恢复胸壁的骨性结构及腹壁的肌肉筋膜的完整性。这些软组织可以抗感染,保护胸腹腔脏器,覆盖假体,以及填充死腔。大部分胸腹壁软组织可以通过局部或者带蒂血管修复,但当缺损周围缺乏可使用的软组织或者缺损周围可使用软组织的量远不够覆盖缺损面积时,就必须使用显微外科技术移植远端大的带血管游离皮瓣。
Surgeons often encounter large chest and abdominal wall defects, and the treatment of which may require close collaboration with the plastic surgeon. These complex defects can be successfully treated by using a variety of techniques. Where necessary, it is prerequisite to restore the skeletal integrity of chest wall and the musculofascial integrity of abdominal wall, generally with prosthetic material, and then covered with well-vascularized soft tissue. Soft tissue is required to help combat infection, protect viscera, cover prosthetic materials, and fill dead space. Although most chest and abdominal wall reconstructions can be accomplished by means of pedicle flaps and local flaps, microvascular free-tissue transfer may be required when a single regional flap may simply be inadequate to cover a large-volume or large surface-area defect.
出处
《中华损伤与修复杂志（电子版）》
CAS
2013年第1期65-68,共4页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
基金
上海市科委浦江人才计划(10PJD008)
关键词
修复外科手术
胸壁
腹壁
外科皮瓣
Reconstructive surgical procedures
Thoracic wall
Abdominal wall
Surgical flaps
