摘要
目的探讨胸骨肿瘤切除术后采用钛板联合Teflon补片重建胸廓的方法及疗效。方法 2006年10月-2009年11月,收治4例胸骨肿瘤患者。男2例,女2例;年龄30～55岁。以胸部肿块、疼痛1～6个月后入院。检查见胸前区范围为4 cm×3 cm～10 cm×8 cm的肿块,质硬。CT检查见骨质破坏。采用胸骨肿瘤扩大切除术,切除范围为10 cm×8 cm～18 cm×14 cm,采用钛板联合Teflon补片重建胸廓。结果患者手术均顺利完成。术后切口Ⅰ期愈合,未出现反常呼吸、皮下气肿、气胸、感染等并发症。术后6个月1例失访,1例术后25个月因颅内出血死亡;余2例分别获随访1年及4年,肿瘤未见复发。所有患者胸壁塑形良好,随访期间钛板无松动、外露,无呼吸困难、胸闷、胸痛等不适。结论胸骨肿瘤切除后采用钛板联合Teflon补片重建胸廓,具有手术操作简便、塑形效果满意、术后并发症少等优点。
Objective To study the reconstruction method and effectiveness of titanium plate and Teflon patch for the chest wall after resection of sternal tumors.Methods Between October 2006 and November 2009,4 patients with sternal tumors were treated and the thoracic cages were reconstructed.There were 2 males and 2 females,aged 30-55 years.The patients were admitted because of chest lump or pain.The sizes of palpable lump ranged from 4 cm × 3 cm to 10 cm × 8 cm.CT examination showed bone destruction.After sternal tumor resection,defect size ranged from 10 cm × 8 cm to 18 cm × 14 cm,and titanium plate and Teflon patch were used to repair and reconstruct the chest wall defect.Results The operations of the tumor resection and reconstruction of chest wall defect were successfully performed in 4 cases.Incisions healed by first intention with no abnormal breath,subcutaneous emphysema,pneumothorax,and infection.One case failed to be followed up after 6 months;1 case died of intracranial hemorrhage;and 2 cases were followed up 1 and 4 years respectively without tumor recurrence.The chest wall had good remodeling.No loosening and exposure of titanium plate,difficulty in breathing,chest distress,and chest pain were observed during follow-up.Conclusion Surgical resection of sternal tumors will cause large chest wall defect which can be repaired by titanium plate and Teflon patch because it had the advantages of easy operation,satisfactory remodeling,and less complication.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2011年第10期1224-1226,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
胸骨肿瘤
胸廓重建
钛板
TEFLON
补片
Sternal tumor Chest wall reconstruction Titanium plate Teflon patch
