胸壁缺损的修复重建现状及进展.PDF

中国胸心血管外科临床杂志 2018 年7 月第25 卷第0 期 • 1 •   ·综　述· 胸壁缺损的修复重建现状及进展 1 1 2 唐善卫 ，叶敬霆，束余声 1. 扬州大学临床医学院（扬州  225001 ） 2. 苏北人民医院 胸心外科（扬州  225001 ） 【摘要】   无论何种原因引起的胸壁缺损，特别是广泛胸壁缺损，若不进行有效的修复重建可引起胸壁软 化、反常呼吸及纵隔摆动等生理病理变化。重建手术方法技术和材料的选择是影响胸壁修复重建效果的主要因 素。随着对胸壁缺损认识的深入，以及重建手术技术的进步和重建材料的发展，许多以往无法完成的巨大胸壁缺 损重建正变为可能。本文主要就胸壁缺损特点，修补方法及重建材料现状及进展等作一综述。 【关键词】  胸壁；缺损；切除；重建；材料 The status and progress of repair and reconstruction of chest wall defect 1 1 2 TANG Shanwei , YE Jingting , SHU Yusheng 1. Clinical Medicine College of Yangzhou University, Yangzhou, 225001, P.R.China 2. Northern Jiangsu People’s Hospital, Yangzhou, 225001, P.R.China Corresponding author: SHU Yusheng, Email: shuyusheng65@126.com 【Abstract 】 Regardless of the cause of the chest wall defect, especially the extensive chest wall defect, if it cannot be effectively repaired and reconstructed, it may cause physiological and pathological changes such as chest wall softening, respiratory abnormalities and mediastinal oscillations. The main factors affecting the repair and reconstruction of the chest wall are the choice of reconstruction methods and materials. With the increasing understanding of chest wall defects, advances in reconstructive surgery techniques and the development of reconstructed materials, it has become possible to reconstruct many extensive chest wall defects that were previously impossible to complete. This article reviews the characteristics of chest wall defects, methods of repair, and current status and progress of reconstructed materials. 【Key words 】 Chest wall; defect; resection; reconstruction; material 1906 年 Tansini 首次报道了采用带蒂背阔肌瓣 等技术不断地发展，也促进了胸壁修复重建的