摘要
目的 探讨对胸腹型联体婴分离手术造成胸廓及心包膜缺损、心脏外露的整复手术方法。方法 ①分为腹腔组、胸心组、整形外科组进行分离手术。②分体后 ,A婴胸部及心包膜缺损采用非生物修复材料重建胸廓 ,再造心包腔 ,保护心脏 ;术中重点保护B婴 ,胸腹部保留组织较多 ,利用直接拉拢缝合 ,一期修复。③设计多个舌形大皮瓣修复胸 腹壁巨大缺损创面 ,创口一期愈合。结果 联体分离后的两婴均已成活 ,其中A婴前胸廓和腹壁严重缺损、心脏外露 ,经长期住院治疗 ,术后 3年治愈出院。结论 应用现代整形外科技术 ,对联体婴分离后的组织器官缺损的修复与重建是一项高难度手术 ,同时也是一项较为可靠、有效的保存生命的手术方法。
Objective To explore and apply a reconstructive technqiue for thoracic and pericardial defects and cardiac exposure in a thoracoventropagus following the separation operation. Methods The separation operation was performed by the abdominal,the cardiothoracic and the plastic reconstructive surgeons in three teams.Nonbiological material was used in infant A to reconstruct the defective his thorax and pericardium resulted from the separation surgery.During the operation,infant B was protected with emphasis,preserving larger amount of thoraco-abdominal tissue to facilitate one-stage repair by direct suturing. Multiple tongue-shaped large skin flaps were designed to repair the huge soft tissue defects.The wound was closed in one stage. Results Both of the infants survived after the surgery.Infant A with severe defect of his anterior thorax and abdominal and consequent cardiac exposure was eventually cured in 3-year hospitalization. Conclusion The repair and reconstruction of the defective tissues and organs in the thoraco-abdminal conjoined twins were highly difficult.The modern plastic surgical techniques used for the task were reliable,effective and successful.;
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2003年第2期112-114,共3页
Chinese Journal of Plastic Surgery
关键词
联体双婴
缺损
心脏外露
整复
Conjoined twins
Defect
Cardiac exposure
Repair
