摘要
肋软骨是临床常用的填充、支持材料,具有很多优点,但是肋软骨采集术后胸廓畸形时有发生。为了有效降低术后胸廓畸形的发生率,国内外学者进行了充分地探索。通过文献复习,作者对肋软骨取出术后胸廓畸形的防治方法进行了总结,即在合理选择手术部位、软骨切取量的基础上,术中通过保护骨-软骨连接处和一定长度的肋软骨、封闭软骨膜、回植软骨碎屑等方式来进行预防。此外,术后还应限制胸廓的活动度和呼吸幅度,如外固定和限制体育锻炼等。
Costal cartilage is a commonly used filling and supporting material in clinical practice,which has many advantages,but chest wall deformity frequently occurs after autologous costal cartilage harvesting.In order to effectively reduce the incidence of chest wall deformity,experts and scholars have conducted a full exploration.Theauthor reviewed the related literatures and summarized the prevention of chest wall deformity after costal cartilage harvesting.On the basis of reasonable selection of surgical site and cartilage harvesting amount,the costochondral junction(CCJ)and optional cartilage should be preserved.The costal perichondrium should be sutured and autogeneic cartilage debris should be replanted during the operation.In addition,postoperative management should also limit the degree of chest movement and breathing range,such as external fixation and restrictions on physical exercise.
作者
朱玲
王志军
孙跃
任慈
韩宇鑫
金州烽
董海
Zhu Ling;Wang Zhijun;Sun Yue;Ren Ci;Han Yuxin;Jin Zhoufeng;Dong Hai(Department of Cosmetic Surgery,Yanbian University Hospital,Yanji 133000,China;Chongqing Beau Care Clinic Cosmetology Hospital,Chongqing 400010,China)
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2020年第9期1058-1061,共4页
Chinese Journal of Plastic Surgery
关键词
肋软骨
胸廓畸形
肋软骨采集
Costal cartilage
Chest deformity
Costal cartilage harvest
