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find Keyword "胸壁重建" 16 results
  • Application of Gore-Tex Patch in Chest Wall Reconstruction

    Abstract: Objective To summarize the application experience of Gore-Tex patch in clinical chest wall reconstruction. Methods A retrospective analysis was performed in 33 patients who underwent chest wall reconstruction using Gore-Tex patch from January 2001 to December 2010 in Shanghai Changhai Hospital, Second Military Medical University. There were 19 men and 14 women, ranging in age from 20 to 73 years with a median age of 45.7 years. The surgical strategies included choosing different incisions according to tumor location and size, and preserving normal chest wall soft tissue as much as possible during surgery. Gore-Tex patch was used to reconstruct the huge chest wall defect, and covered by transferred muscle flaps. Results All the 33 patients underwent surgical reconstruction successfully and there was no perioperative death. Complete tumor resection was performed in all the patients, including 25 patients with malignant tumor and 8 patients with benign tumor. The diameter of the resected tumors ranged from 8 to 20 cm. All the patients were followed up from 5 to 60 months, except that 3 patients (9.09%) were lost during follow-up. There was no rejection response, abnormal breathing and foreign body sensation during follow-up. The infection incidence was 3%(1/33). Conclusion Gore-Tex patch is a safe and effective material for chest wall reconstruction due to its excellent biocompatibility. Appropriate selection of muscle flap for covering Gore-Tex patch can reduce postoperative complications.

    Release date:2016-08-30 05:50 Export PDF Favorites Scan
  • 胸壁肿瘤的外科治疗

    目的探讨胸壁肿瘤的切除和胸壁缺损的重建方法。方法自1985年7月至2004年lO月对113例胸壁肿瘤患者进行了手术治疗,其中良性肿瘤47例,恶性肿瘤66例,48例肿瘤切除后遗留巨大胸壁缺损而采用转移肌瓣、钢丝网、有机玻璃、牛心包片和巴德复合补片等进行修复重建。结果全组无手术死亡,无严重并发症发生。恶性肿瘤术后1、3、5年生存率分别为73.1%(38/52),52.2%(24/46)和28.9%(11/38)。结论胸壁肿瘤不论良恶性均首选手术切除,恶性肿瘤应进行胸壁扩大切除并修复胸壁缺损,其效果满意。

    Release date:2016-08-30 06:26 Export PDF Favorites Scan
  • 人工补片胸壁重建治疗胸壁巨大缺损

    目的 总结应用人工补片胸壁重建治疗胸壁巨大缺损的疗效。 方法 2002 年1 月- 2008 年10 月,收治14 例胸壁肿瘤患者。男10 例,女4 例;年龄28 ~ 67 岁,平均45 岁。原发性肿瘤11 例,转移性肿瘤3 例。肿瘤位于前胸壁5 例,后胸壁3 例,侧胸壁6 例。病程20 ~ 270 d。患者均行扩大根治切除术,切除2 ~ 5 根肋骨,胸壁缺损范围9 cm × 7 cm ~ 17 cm × 12 cm,采用单层或双层Marlex 网片结合自体肌肉瓣覆盖重建胸壁。 结果 患者均顺利完成手术。术后切口均Ⅰ期愈合。胸壁无明显反常呼吸。14 例均获随访,随访时间13 ~ 26 个月,平均21 个月。随访期间未出现与材料有关的宿主反应。患者胸壁无明显畸形,外观良好,呼吸运动时胸壁重建处无不适。1 例因肿瘤复发伴肝脏转移死亡。 结论 人工补片胸壁重建治疗胸壁巨大缺损安全、有效。

    Release date:2016-08-31 05:44 Export PDF Favorites Scan
  • 人工胸壁重建在联体婴儿分离手术中的应用

    目的 总结1 例人工胸壁重建在联体婴儿分离手术中的应用。 方法 2007 年7 月22 日,对1 对胸腹联体婴儿实施分离手术,术中应用聚丙烯网加钛合金板加聚丙烯网的“三明治”结构进行胸壁重建。患婴A 和B 均为女性,出生后83 d 入院。出生时呈面对面联体,共用一胎盘、脐带,CT 和MRI 示患婴胸腹联体,肝脏相连,分别有独立肛门,共用1 个心包。入院45 d 术前准备后行分离手术,体重7 600 g,体桥长约16 cm,宽9 cm。 结果 患婴A 术后第2 天胸部伤口皮肤皮缘张力过大,裂口约8.0 cm × 5.5 cm,于术后107 d 行二期植皮,目前胸部仍有约6 cm × 4 cm 皮肤缺损;其下人工胸壁复合体有肉芽组织生长,与胸壁组织融合生长,形成密闭胸腔;术后随访1 年,存活良好。患婴B 肺部严重感染,术后78 d 抢救无效死亡;术后尸检示:人工胸壁复合体与胸部组织有良好的组织相容性,结构间隙及内外均有肉芽组织生长,形成一体。 结论 聚丙烯网加钛合金板加聚丙烯网的“三明治”结构复合体是对大范围骨性胸壁缺损人工修复的良好材料,是胸腹联体婴儿分离手术成功的重要一环。

    Release date:2016-09-01 09:07 Export PDF Favorites Scan
  • THE OUTCOME OF MODIFIED PROCEDURE FOR PECTUS CARINATUM CORRECTION

    Objective To improve the surgical procedure to correctpectus carinatum. Methods From 1990 to 2003, 9 patients with pectus carinatum were treated, whose ages ranged from 3 years and 6 months to 16 years. The conventional operation was performed on 4 patients, the modified procedure on 5 patients. The modified procedure included: ①the shortening rib periosteum was not sutured transversally;② the corrected position of the sternum was stabilized with the metal strut. Results In 4 patients corrected by the conventional procedure, the sternum depression as pectus excavatum occurred in 1 case five years postoperatively. The results were satisfactory in 5 patients corrected by the modified procedure. The reconstructed thorax was symmetrical, without bulging or dimpling of sternum and costal cartilage. Conclusion The improvement of operative method isreasonable and effective in correcting pectus carinatum.

    Release date:2016-09-01 09:29 Export PDF Favorites Scan
  • SURGICAL CORRECTION OF PECTUS CARINATUM

    Over a two year period, four patients of pectus carinatum received surgical correction at our hospital. All patients were followed up for 6 months to 1 year. The operative results were satisfactory but one required revision with additional resection of bilateral second cartilage for the persistent malformation. The clinical characteristics, operative techniques and indications for operative treatment were discussed.

    Release date:2016-09-01 11:38 Export PDF Favorites Scan
  • 胸壁肿瘤切除术胸壁缺损钛网重建五例

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  • Progress in Resection and Reconstruction of Chest Wall in Non-small Lung Cancer

    Surgical management of non-small cell lung cancer (NSCLC) invading chest wall is the combination of pulmonary resection, lymphadenectomy and chest wall resection and reconstruction. Hitherto the surgical procedures include combination of thoracotomy and video-assisted thoracoscopic surgery (VATS), thoracotomy, and VATS. The result of the surgery leads to a defect in the chest wall. Therefore, the requirements of the technique and material are relatively high with no consensual standard. This review describes the definitions, indications, materials, prognostic factors, and recent progress in surgical techniques.

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  • Advances in the application of 3D printing technology in chest wall disease surgery

    Because of the characteristics such as accurate, efficient and individuation, 3D printing is being widely applied to manufacturing industry, and being gradually expanded into the medical field. Diseases of chest wall is a common type in thoracic surgery, and surgery is a proper treatment to this kind of disease. For the past few years, 3D printing is being gradually applied in surgery of chest wall diseases. The article mainly makes a statement of two parts that including the possibility to apply 3D printing including chest wall reconstruction and chest wall orthopedic, and to analyze the possibility and application prospect of applying 3D printing to the chest wall disease.

    Release date:2018-11-02 03:32 Export PDF Favorites Scan
  • 胸壁肿瘤切除及胸壁重建手术中国专家共识(2018 版)

    Release date:2019-01-03 04:52 Export PDF Favorites Scan
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