Philippi D, Valleix D, Descottes B, Caix M
Service de Chirurgie Générale B, CHU Dupuytren, Limoges, France.
Surg Radiol Anat. 1992;14(1):11-5. doi: 10.1007/BF01628036.
A feasibility study was carried out to standardise the use of the intercostal muscle flap (ICF) for reconstruction of the posterior wall of the trachea and bronchi. The program consisted of two stages. Morphologically, in anatomic specimens, intercostal muscle flaps were dissected that could be used whatever the morphotype of the subject. Ten human cadavers were dissected after a right thoracotomy in the 6th right intercostal space, providing flaps 12 to 18 cm long and 1.5 to 3 cm wide. Experimentally, studies were made on 7 dogs of the functional and anatomopathologic aspects of the reconstruction at the 20th postoperative day. The results showed impermeability and rapid healing at endoscopy on the 10th postoperative day in every case as well as regeneration of ciliated epithelium in 6 of the 7 cases. The ICF may therefore be considered for losses of tracheobronchial substance, whether accidental, spontaneous (fistulae) or deliberate (surgery for malignant or benign lesions).
开展了一项可行性研究，以规范肋间肌皮瓣（ICF）用于气管和支气管后壁重建的应用。该项目包括两个阶段。在形态学上，在解剖标本中，解剖出肋间肌皮瓣，无论受试者的体型如何均可使用。在6例右侧第6肋间进行右胸开胸术后，解剖了10具人体尸体，获得了长12至18厘米、宽1.5至3厘米的皮瓣。在实验方面，对7只狗进行了研究，观察术后第20天重建的功能和解剖病理学方面。结果显示，在术后第10天的每例病例中，内镜检查均显示无渗漏且愈合迅速，7例中的6例有纤毛上皮再生。因此，对于气管支气管组织缺损，无论是意外性、自发性（瘘管）还是人为性（恶性或良性病变手术），均可考虑使用肋间肌皮瓣。
