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采用股前外侧-股前内侧联合肌皮瓣进行胸壁重建。

Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap.

作者信息

Tan Pearlie W W, Wong Chin-Ho, Koong Heng-Nung, Tan Bien-Keem

机构信息

Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.

出版信息

Indian J Plast Surg. 2010 Jan;43(1):88-91. doi: 10.4103/0970-0358.63966.

DOI:10.4103/0970-0358.63966
PMID:20924459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2938634/
Abstract

We present a massive 25 cm × 20 cm chest wall defect resulting from resection of recurrent cystosarcoma phyllodes of the breast along with six ribs exposing pleura. The chest wall was reconstructed with a Prolene mesh-methylmethacrylate cement sandwich while soft tissue reconstruction was carried out using a combined free anterolateral-anteromedial thigh musculocutaneous flap with two separate pedicles, anastomosed to the thoracodorsal and thoracoacromial vessels respectively. We explain our rationale for and the advantages of combining the musculocutaneous anterolateral thigh flap with the anteromedial-rectus femoris thigh flap.

摘要

我们展示了一例因切除复发性乳腺叶状囊肉瘤连同六根肋骨并暴露胸膜而导致的巨大胸壁缺损，缺损面积达25厘米×20厘米。胸壁采用普理灵网片-甲基丙烯酸甲酯骨水泥夹心修复，而软组织重建则使用了带两个独立蒂的游离股前外侧-股前内侧联合肌皮瓣，分别与胸背血管和胸肩峰血管吻合。我们阐述了将股前外侧肌皮瓣与股前内侧股直肌瓣联合使用的理由及优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a8b/2938634/bb1dc037bd20/IJPS-43-88-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a8b/2938634/7ffbd88bb1ac/IJPS-43-88-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a8b/2938634/f475b78355c9/IJPS-43-88-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a8b/2938634/9d907e913d93/IJPS-43-88-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a8b/2938634/bb1dc037bd20/IJPS-43-88-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a8b/2938634/7ffbd88bb1ac/IJPS-43-88-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a8b/2938634/f475b78355c9/IJPS-43-88-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a8b/2938634/9d907e913d93/IJPS-43-88-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a8b/2938634/bb1dc037bd20/IJPS-43-88-g004.jpg

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本文引用的文献

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Plast Reconstr Surg. 2009 Feb;123(2):571-577. doi: 10.1097/PRS.0b013e318195658f.
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Reconstruction of complex oncologic chest wall defects: a 10-year experience.复杂肿瘤性胸壁缺损的重建：十年经验
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De-epithelialised anterior (anterolateral and anteromedial) thigh flaps for dead space filling and contour correction in head and neck reconstruction.
使用游离股前外侧-大腿内侧下皮瓣修复巨大胸壁缺损：1例病例报告
J Surg Case Rep. 2023 May 18;2023(5):rjad264. doi: 10.1093/jscr/rjad264. eCollection 2023 May.
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Osteomyelits of the pubic bone with vesicocutaneous - vesicovaginal fistula: A delayed complication of post-cervical cancer radiotherapy.耻骨骨髓炎伴膀胱皮肤 - 膀胱阴道瘘：宫颈癌放疗后的迟发性并发症。
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Anterolateral Thigh Twin Free Flaps from a Single Donor Site-a Modification Based on the Oblique Branch of the Lateral Circumflex Femoral Artery.单一供区的股前外侧双游离皮瓣——基于旋股外侧动脉斜支的改良术式
Indian J Surg. 2014 Apr;76(2):165-8. doi: 10.1007/s12262-013-0829-0. Epub 2013 Jan 27.
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Reconstruction of complex thoraco-abdominal defects with extended anterolateral thigh flap.应用股前外侧扩展皮瓣修复复杂胸腹联合缺损
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Br J Plast Surg. 1999 Jun;52(4):261-7. doi: 10.1054/bjps.1999.3107.
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[Transplantation of the remedial free anteromedial thigh flap].[游离股前内侧修复皮瓣移植术]
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1996 Nov;12(6):407-9.
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