背阔肌肌瓣转移修复Poland综合征胸部畸形

Latissimus dorsi transfer to restore thoracic malformation of Poland′s syndrome

目的 探讨背阔肌肌瓣转移矫治Poland综合征胸部畸形的方法与注意事项。方法 10例患者采用侧胸垂直切口及腋下小切口切取转移背阔肌肌瓣矫正胸壁畸形，注意腋前皱襞的重建。结果 10例背阔肌肌瓣全部成活，随访1～2年，效果良好。结论 背阔肌肌瓣具有稳定、可靠的血供保证，能提供足够的组织量，是修复Poland综合征胸部畸形的理想方法。

Objective To study the methods and points for attention of latissimus dorsi muscle flap transplantation to correct the thoracic malformation of Poland＇s syndrome. Methods From 1995 to 2003, 10 patients were diagnosed of Poland＇s syndrome with absence of pectoris major muscle in all patients. The latissimus dorsi muscle flap was exposed and transfered through a vertical lateral thoracic cut and a short cut beneath the axillary fold. Reconstruction of the anterior axillary wall is one of the major goals to be achieved in this operation. Results All of the latissimus dorsi muscle flaps survived. Satisfactory outcomes were achieved after 1-2 years of follow-up. Conclusion The latissimus dorsi muscle flap has a stable and reliable blood supply. It is an ideal muscle flap to restore the thoracic malformation of Poland＇s syndrome.