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題 名 | 不易根治之胸壁重建 |
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作 者 | 朱定宇; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 21:5 1988.09[民77.09] |
頁 次 | 頁569-575 |
分類號 | 416.413 |
關鍵詞 | 胸壁重建; |
語 文 | 中文(Chinese) |
中文摘要 | 胸壁的腫瘤、潰瘍、瘻管等,經由手術切除後,可能形成不易以簡單植皮或局部皮瓣處治之胸壁缺損。本院自民國七十四年三月至七十六年一月,共計有9例不易根治之胸壁缺損的病患,經擴創術(debridement)後,再利用含血管莖(axial pedical)的胸大肌(pectoralis major),腹直肌(rectus abdominis),開背肌(Iatissimus dorsi)等肌瓣(muscle flap),肌皮瓣(myocutaneous flap)或大網膜瓣(greater omentum flap)作為修補填充的材料,而利用其豐富的血液循環及淋巴循環使受區(recipient)含氣量及防禦機轉(oxygen and defense mechanism)增加,因而治癒續發性骨髓炎及慢性瘻管等傷口。在選擇重建的方法時,必須要考慮缺損的部位,大小,厚度及其周圍組織的情況。而利用最方使,有效的組織加以覆蓋缺損。 |
英文摘要 | Chest wall defects challenge the creativity of reconstructive surgeons. Axial pattern muscle or myocutaneous flaps have provided an exceedingly useful method of chest wall reconstruction. From march 1985 to January 1987, nine patients wity chest wall defects received debridement and reconstruction with axial pattern rectus abdominis; pectoralis major; latissimus dorsi muscle or myocutaneous flap and omentum flap at this hospital. There were no functional sequalae at donor sites, and the skin was closed primarily. Two out of the nine patients received further debridement because of recurrent fistula. In general, pre-operative evaluation and adequate debridement of infected tissue are very importment to prevent recurrence after operation. The choice of procedures for reconstruction of the chest depends on four main considerations: the size, location, depth of the defect and the condition of the surrounding tissues. |
本系統中英文摘要資訊取自各篇刊載內容。