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胸大肌肌瓣和局部皮瓣修复胸壁缺损 被引量:1

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摘要 胸骨恶性肿瘤切除后,常造成巨大的胸廓缺损,如不加以处理,将损坏胸膜的密闭性和胸廓的牢固和稳定性,从而导致气胸、胸壁软化,反常呼吸等严重并发症。我院利用两侧胸大肌交错缝合固定,局部旋转皮瓣覆盖修复3例,均取得满意效果。手术设计和步骤一、胸大肌肌瓣及局部皮瓣的设计(图1~4)以胸大肌起点为蒂,根据缺损大小测定胸大肌肌瓣的长度和宽度,以备翻转后与对侧交错缝合。皮瓣的蒂位于锁骨和腋前部,内侧缘为自锁骨上窝至剑突,下缘为肋缘,外侧缘为腋后线。
出处 《中华整形烧伤外科杂志》 CAS CSCD 北大核心 1997年第2期144-145,共2页
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  • 1王敏生,中华外科杂志,1983年,21卷,358页

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