垂直肌肉皮肤梯形片用于关闭肺切除术后的肺
Mónica Francés-Monasterio1, Fernández-Palacios Fernández-Palacios1, Orlando García-Duque1
1Department of Plastic and Reconstructive Surgery.
Cirugia y cirujanos
|October 16, 2023
概括
垂直肌皮梯形 (VMCT) 板有效地重建胸壁在患有支气管肺 (BPF) 的患者. 这种片在80%的病例中成功治疗了,改善了生活质量.
科学领域:
- 胸部外科手术 胸部外科手术
- 重建性手术是一种重建性手术.
- 肺部医学 肺部医学
背景情况:
- 由于肌肉可用性有限,管理开放窗口胸腔术存在挑战.
- 标准治疗包括脱bridement,胸膜整形,和片覆盖.
研究的目的:
- 为了介绍与垂直肌皮梯形 (VMCT) 的经验.
- 为了突出其在胸壁重建支气管 (BPF) 的实用性.
主要方法:
- 一个由五名患有长期牙和BPF的患者组成的病例系列.
- 使用VMCT,通过后胸切除术创建直接通路.
- 缩短了板和缺陷之间的距离.
主要成果:
- 在80%的病例中,VMCT片成功地解决了管,并填补了缺陷.
- 患者的生活质量得到改善.
- 观察到对补充氧气的需求减少.
结论:
- 在VMCT是主要的,不受影响的肌肉皮肤单元后肺部手术.
- 它的皮肤成分为支气管茎提供了刚性密封.
- 肌肉成分提供了血管化的组织,而没有功能障碍.
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