中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2012年
13期
109-111
,共3页
彭秀凡%乔贵宾%唐勇%曾伟生%蒋仁超%廖明%徐恩五%彭丽君%肖海平%张伟
彭秀凡%喬貴賓%唐勇%曾偉生%蔣仁超%廖明%徐恩五%彭麗君%肖海平%張偉
팽수범%교귀빈%당용%증위생%장인초%료명%서은오%팽려군%초해평%장위
生物相容性材料%胸壁%骨重建%人工骨
生物相容性材料%胸壁%骨重建%人工骨
생물상용성재료%흉벽%골중건%인공골
Biocompatible materials%Thoracic wall%Bone remodeling%Artificial bone
目的 探讨用猪源生物材料骨进行骨性胸壁缺损修复重建的方法及疗效.方法 对2008年12月至2011年9月我院胸外科收治的21例胸壁缺损患者用猪源生物材料骨进行重建.其中男16例,女5例,平均年龄45.8岁(10 ～72岁),17例为胸壁肿瘤或肺肿瘤侵犯胸壁手术切除后造成胸壁缺损,用猪源生物材料骨进行肋骨重建,外被自身软组织；4例为纵隔或胸骨肿瘤切除后造成胸骨或胸骨合并前胸壁缺损患者,用猪源生物材料骨替代胸骨与两侧前肋及锁骨固定.结果 21例患者均胸廓成形满意,术后无反常呼吸运动、浮动胸骨、血气胸、感染及材料相关并发症,术后X线及CT检查见生物材料骨与自体肋骨连接部有骨痴形成.随访6个月至3年3个月,全部病例胸廓成形满意,无材料松动、脱落、变形及折断.结论 用猪源生物材料骨进行胸壁缺损修复重建疗效满意,术后见连接部有骨痂形成.
目的 探討用豬源生物材料骨進行骨性胸壁缺損脩複重建的方法及療效.方法 對2008年12月至2011年9月我院胸外科收治的21例胸壁缺損患者用豬源生物材料骨進行重建.其中男16例,女5例,平均年齡45.8歲(10 ～72歲),17例為胸壁腫瘤或肺腫瘤侵犯胸壁手術切除後造成胸壁缺損,用豬源生物材料骨進行肋骨重建,外被自身軟組織；4例為縱隔或胸骨腫瘤切除後造成胸骨或胸骨閤併前胸壁缺損患者,用豬源生物材料骨替代胸骨與兩側前肋及鎖骨固定.結果 21例患者均胸廓成形滿意,術後無反常呼吸運動、浮動胸骨、血氣胸、感染及材料相關併髮癥,術後X線及CT檢查見生物材料骨與自體肋骨連接部有骨癡形成.隨訪6箇月至3年3箇月,全部病例胸廓成形滿意,無材料鬆動、脫落、變形及摺斷.結論 用豬源生物材料骨進行胸壁缺損脩複重建療效滿意,術後見連接部有骨痂形成.
목적 탐토용저원생물재료골진행골성흉벽결손수복중건적방법급료효.방법 대2008년12월지2011년9월아원흉외과수치적21례흉벽결손환자용저원생물재료골진행중건.기중남16례,녀5례,평균년령45.8세(10 ～72세),17례위흉벽종류혹폐종류침범흉벽수술절제후조성흉벽결손,용저원생물재료골진행륵골중건,외피자신연조직；4례위종격혹흉골종류절제후조성흉골혹흉골합병전흉벽결손환자,용저원생물재료골체대흉골여량측전륵급쇄골고정.결과 21례환자균흉곽성형만의,술후무반상호흡운동、부동흉골、혈기흉、감염급재료상관병발증,술후X선급CT검사견생물재료골여자체륵골련접부유골치형성.수방6개월지3년3개월,전부병례흉곽성형만의,무재료송동、탈락、변형급절단.결론 용저원생물재료골진행흉벽결손수복중건료효만의,술후견련접부유골가형성.
Objective To explore the method and efficacy of chest wall reconstruction in using prosthetic materials.Methods Twenty-one patients( 16 males and 5 females,the age from 10 to 72 years with the mean age of 45.8 years) who were proceeded chest wail recorstruction using porcine-derived artificial bone were recruited in our inpatient department from December 2008 to September 2011.Of all the patients,seventeen individuals were chest wall defect,and four individuals were sternum defect.Seventeen chest wall defect patients,who were induced by tumor resection of chest wall operation,were rebuilded ribs and pleura using the biomaterial prosthesises covered with self soft tissue.Taking place of sternum,the biomaterial prosthesises were used to fix with ribs in sternum defect patients.Results All the patients in our study who had chest wall recontruction had satisfactory efficacy.No paradoxical breathing,floating sternum,hematopneumothorax,infection or material related complication happened after operation.CT shows osteotylus has come into been between the rib conjunctions and materials.In the 6 to 39 months followed up periods,all patients recovered well.Condusions Biomaterial is a satisfactory prosthesis in application of chest reconstruction.
