Hyans P, Moore J H, Sinha L
Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
Ann Plast Surg. 1992 Oct;29(4):321-7. doi: 10.1097/00000637-199210000-00008.
Nine patients underwent major chest wall resection at Thomas Jefferson University Hospital (Philadelphia, PA) over a 19-month period. Chest wall reconstruction was performed with an expanded polytetrafluoroethylene (e-PTFE) soft tissue patch (Gore-Tex) and vascularized flaps in all patients. The size of the skeletal defects ranged in area from 60 to 400 cm2. The primary indications for resection included chest wall sarcoma and radiation ulcer. Aggressive chest wall resection may be a patient's only opportunity for cure and an improved quality of life. In this series, chest wall resection was able to be performed with a low morbidity and no mortality. This study also demonstrates many of the advantages of e-PTFE as a chest wall substitute compared with other previously described prosthetic materials. The use of a Gore-Tex patch along with described flaps for soft tissue coverage provides good functional and aesthetic results.
在19个月的时间里，9名患者在托马斯·杰斐逊大学医院（宾夕法尼亚州费城）接受了胸壁大切除术。所有患者均使用膨体聚四氟乙烯（e-PTFE）软组织补片（戈尔特斯）和带血管蒂皮瓣进行胸壁重建。骨骼缺损面积为60至400平方厘米。切除的主要指征包括胸壁肉瘤和放射性溃疡。积极的胸壁切除术可能是患者获得治愈和改善生活质量的唯一机会。在本系列研究中，胸壁切除术的发病率较低，且无死亡病例。本研究还证明了与其他先前描述的假体材料相比，e-PTFE作为胸壁替代物的许多优点。使用戈尔特斯补片并结合所述皮瓣进行软组织覆盖可提供良好的功能和美学效果。
