修复与重建大面积胸壁缺损的临床研究进展

Clinical Progress on the Repair and Reconstruction of Large Chest Wall Defect

造成胸壁缺损的原因很多,但大面积胸壁缺损是胸外科不可忽视的一个重要问题,过大的胸壁缺损可导致患者气胸、胸壁软化、反常呼吸及纵膈摆动等,影响患者呼吸循环功能,必须修复重建。关于胸壁缺损的修复与重建手术技术已发展得较为成熟,对于术后影响较大的因素主要是对于不同胸壁缺损区域的选择手术方法及使用的修补材料的性质。本文就大面积胸壁缺损特点、原因、修复重建材料及技术应用的临床研究进展进行综述。

There were many reasons for chest wall defect, but large chest wall defect was an important problem that should be reckoned with in the thoracic surgery. Large chest wall defect could cause patients with pneumothorax, chest wall softening, abnormal breathing and mediastinum swing, etc., so that it could affect patient＇s respiratory and circulatory function. Therefore, patients must get chest wall reconstruction. It has developed a comparatively mature repair and reconslruction technique for chest wall defect. The influential factors of postoperative mainly were the choice of surgical method for different chest wall defect areas and the nature of the repair material. In this paper summarized were the clinical research progress on the characteristics and reasons of large chest wall defect, as well as the reconstruction materials and technique application.