Kletenský J, Padera J
Department of Plastic Surgery, University Hospital Královské Vinohrady, Prague, Czech Republic.
Acta Chir Plast. 2006;48(1):5-9.
Defects of the sternum are a result of severe postoperative complications in certain cardiosurgery patients. The use of pedicle muscle flaps for closure of these defects is currently already a standard and reliable method. The most commonly used muscles for covering the sternal area and filling the frontal mediastinum are the pectoralis major and rectus abdominis muscles. There are several ways to use these muscles for the individual concrete situations. Based on the experience they have gained over the past six years with 84 patients, the authors describe technical aspects of the individual variations as well as the relevant advantages and disadvantages.
胸骨缺损是某些心脏手术患者严重术后并发症的结果。使用带蒂肌瓣闭合这些缺损目前已是一种标准且可靠的方法。覆盖胸骨区域和填充前纵隔最常用的肌肉是胸大肌和腹直肌。针对具体的个体情况，有几种使用这些肌肉的方法。基于过去六年对84例患者的经验，作者描述了个体差异的技术细节以及相关的优缺点。
