部分去表皮岛状带蒂肌皮瓣修复胸段气管壁缺损

Reconstruction of thoracic tracheal defect with the part deepithelialised myocutaneous flap

目的 探讨应用去表皮岛状带蒂肌皮瓣修复胸段气管侧壁缺损的临床效果.方法 回顾性分析自2007年6月至2011年4月收治的胸段气管壁缺损患者5例,肿瘤切除后形成气管缺损的宽度为气管周径的1/3～2/5,缺损长度4.0～8.5cm,均采用部分去表皮的岛状带蒂肌皮瓣进行修复.结果 本组患者共5例,手术均顺利完成.术后随访3～12个月,恢复良好,胸腔残腔消失,气道通畅,未见气管狭窄.结论 部分去表皮岛状带蒂肌皮瓣可满意修复胸段气管侧壁缺损,扩大了肌皮瓣的应用范围,为胸段气管壁缺损的修复提供了一个安全有效的新方法.

Objective To explore the application of part deepithelialised myocutaneous flap on the reconstruction of thoracic trachea defect. Methods A retrospective study was performed on 5 patients with thoracic tracheal defects received from June 2007 to April 2011. All the defects on the trachea after tumor excision （ 1/3 to 2/5 tracheal circumference ranged from 4.0 cm to 8.5 em） were repaired and reconstructed with part deepithelialised myocutaneous flaps. Results The operations for the 5 cases were all well done. After 3 to 12 months follow-up, the vomica eliminated thoroughly and airway got unhindered without tracheostenosis. Conclusion It is a safe and effective procedure of part deepithelialised myoeutaneous flap transplation for the repair of thoracic tracheal defect.