获得的大型腹壁软组织缺陷的重建的分类和管理框架:对226项研究的范围审查
Abdulaziz Elemosho1, William T Head, Syed Farhan
1Department of Plastic and Reconstructive Surgery, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Plastic and reconstructive surgery
|January 21, 2026
概括
巨大的腹壁软组织缺陷需要复杂的修复. 基于的重建是最常见的,但组织扩张和腹壁移植 (AWT) 也是选择,患者和缺陷因素指导治疗.
科学领域:
- 重建性手术是一种重建性手术.
- 手术创新 在外科创新.
背景情况:
- 巨大的腹壁软组织缺陷 (MAWSTDs) 带来了重大的重建挑战.
- 对MAWSTDs的现有维修技术往往是复杂和多样化的.
研究的目的:
- 系统地审查所有已获取的MAWSTDs报告的修复技术.
- 为MAWSTDs开发一个标准化的定义,分类系统和重建算法.
主要方法:
- 一个系统的文献审查,遵循PRISMA-ScR指南.
- 包括基于片的重建,组织扩张和腹壁移植 (AWT) 的研究.
主要成果:
- 基于的重建 (86.7%) 是MAWSTD的主要方法,其次是组织扩张 (8.9%) 和AWT (4.4%).
- 瘤切除是MAWSTD修复最常见的指示.
- 外部组织扩张器越来越喜欢内部方法;AWT用于复杂的病例.
结论:
- 基于的方法 (区域,免费,本地) 最常用于MAWSTD修复.
- 组织扩张和AWT是不太常见但可行的重建选择.
- 对MAWSTDs的治疗选择需要仔细考虑患者特异性和缺陷特异性因素.
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