应用带血管蒂肋骨瓣修补气管侧壁缺损

Pedicled rib flap for repair of the defect of tracheal side wall

摘要: 目的: 应用带血管蒂肋骨瓣修补气管侧壁缺损。方法: 17例患者手术切除气管病变后,应用带血管蒂肋骨瓣修补气管侧壁缺损和重建气管。结果: 15例患者术后气管管腔通畅无狭窄,2例患者出现气管狭窄,气管腔内置入支架后治愈。良性病变患者术后均可正常生活,长期生存。结论: 应用带血管蒂肋骨瓣修补气管侧壁缺损是一种取材方便、安全可靠的手术方法。

Abstract: Objective: To use pedicled rib flap for repair of the defect of tracheal side wall. Methods: 17 patients underwent repair of tracheal side wall and tracheal reconstruction by pedicled rib flap. Results: There wasn’t tracheal stricture in 15 patients after surgery. 2 patients with postoperative tracheal stricture were treated by expandable intraluminal stent. Conclusion: The technique using pedicled rib flap for repair of the defect of tracheal side wall is a simple, safe and effective procedure.