使用聚四氟乙烯软组织（戈尔特斯）补片修复肿瘤切除术后胸壁缺损。
Reconstruction of thoracic wall defects after tumor resection using a polytetrafluoroethylene soft tissue (Gore-Tex) patch.
作者信息
Akiba T, Takagi M, Shioya H, Kurihara H, Sato S, Yamazaki Y
机构信息
Department of Surgery, Jikei University School of Medicine, Tokyo, Japan.
出版信息
Jpn J Thorac Cardiovasc Surg. 1998 Jun;46(6):526-9. doi: 10.1007/BF03250592.
BACKGROUND
Recently, there have been a few reports recommending use of a 2 mm thick polytetrafluoroethylene soft tissue (Gore-Tex) patch for repair of thoracic wall defects. The potential role of these Gore-Tex patches was examined.
METHODS
Five patients underwent chest wall tumor resection with thoracic wall reconstruction using a Gore-Tex patch (2 mm). We present a review of the complications experienced by five patients with Gore-Tex patches, as well as a review of the literature.
RESULTS
Functionally and cosmetically, satisfactory results were obtained for 5 patients with Gore-Tex patch. There were no cases of infectious complications. However, we experienced one case of a flail chest postoperatively, in which reconstruction with two Gore-Tex patches of 30 x 15 cm, and 3 days of mechanical ventilation and chest wall support was needed.
CONCLUSION
Our experience with Gore-Tex patches has been positive, and we recommend patch closure for thoracic wall defects.
背景
最近，有一些报告推荐使用2毫米厚的聚四氟乙烯软组织（戈尔泰克斯）补片修复胸壁缺损。对这些戈尔泰克斯补片的潜在作用进行了研究。
方法
5例患者接受了胸壁肿瘤切除并使用戈尔泰克斯补片（2毫米）进行胸壁重建。我们对5例使用戈尔泰克斯补片患者的并发症以及文献进行了回顾。
结果
在功能和美容方面，5例使用戈尔泰克斯补片的患者均获得了满意的结果。没有感染性并发症的病例。然而，我们术后遇到1例连枷胸，需要用两块30×15厘米的戈尔泰克斯补片进行重建，并进行3天的机械通气和胸壁支撑。
结论
我们使用戈尔泰克斯补片的经验是积极的，我们推荐用补片闭合胸壁缺损。
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