胸廓严重缺损畸形的整复治疗

Reconstruction of severe defect and deformity of anterior thorax: a report of 3 cases

目的 探讨先天性胸廓严重缺损及凹陷畸形的整复手术方法。方法 ⑴对于胸 腹型联体婴分离术后造成胸腹部组织器官缺损 ,采用非生物修补材料进行修复与重建 ,同时设计多个大型皮瓣转移修复胸腹壁巨大创面。⑵采用大块自体胸骨瓣游离移植矫治漏斗胸严重凹陷畸形。结果 3例分别采用自体骨、硅胶假体、外科涤纶修补材料以及设计多个大型皮瓣修复创面 ,全部获得成功 ,创口一期愈合。结论 胸廓严重缺损畸形的整复治疗是整形外科的一项高难度手术 ,既复杂又有很大危险性 ,但其治疗效果却较为确实。

ObjectiveTo investigate the reconstructive surgical t echnique of the severe congenital defects and concave deformity of anterior thor ax. Methods⑴ Non-biological repairing material was us ed to repair and reconstruct the defects of thoracic and abdominal tissues and o rgans following the separation of thoraco-abdominal conjoined twins. At the sam e time, multiple large skin flaps were designed to transfer and repair the huge wound area of thoracic and and abdominal wall.⑵ Free transplantation of large-m ass autologous sternal flap was used to correct severe concave deformity due to pectus excavatum. ResultsAutologous bones, silica gel p rothesis and surgical teflon repairing material were separately used in 3 cases, and multiple huge skin flaps were designed to repair the wound area. All the pr ocedures were successful. The wound healed in the first stage. Concl usionsThe reconstruction of severe defect and deformity of anterior thorax is an operation of high difficulty in the field of plastic and reconstru ctive surgery, which is complicated and mostly dangerous. Howerer, the therapeut ic result of this operation is reliable and effective.