105例胸壁肿瘤的诊断和外科治疗  

Diagnosis and Surgical Treatment of 105 Cases with Tumors of the Chest Wall

作　　者：徐启明[1] 周乃康[1] 刘颖[1] 杨成秀[1] 

机构地区：[1]中国人民解放军总医院胸外科,北京市100853

出　　处：《中国肿瘤临床》2007年第13期750-753,共4页Chinese Journal of Clinical Oncology

摘　　要：目的:总结105例胸壁肿瘤的诊断和外科治疗经验,探讨胸壁大块缺损的重建方法。方法:回顾性总结分析105例胸壁肿瘤的临床资料。男78例,女27例。年龄6～70岁。94例原发性肿瘤,其中良性75例,恶性19例;11例为转移癌。19例行胸壁肿瘤切除及胸壁大块缺损重建术。结果:所有病例手术过程顺利,无手术死亡。术后随诊:48例良性肿瘤患者健在,16例死于其它原因。13例恶性肿瘤生存21个月至8年,恶性者术后主要死于复发及远处转移。11例转移癌全部死亡,术后生存10个月至6年4个月。结论:对无病理诊断的原发性肋骨肿瘤,应先做限制性根治切除术。大块胸壁缺损的重建,应用理想的修复材料是十分重要的。Objective： To summarize the experience in diagnosis and surgical treatment of 105 cases with tumors of the chest wall, and to investigate reconstruction of a large chest wall defect after resection of chest wall tumors. Methods： Clinical data of 105 patients with tumors of the chest wall were retrospectively analyzed, among them 78 were males and 27 were females. Their ages ranged from 6 to 70 years. Of the 105 cases, 94 were primary tumors among which 75 were benign tumor cases, 19 were malignant and the remaining 11 were metastatic. Reconstruction of a large chest wall defect was conducted after a resection of the chest wall tumor in 19 patients. Results： All surgical operations were successfully performed, without intraoperative death. The results of postoperative follow-up were as follows： forty-eight patients with benign tumors were still living and healthy, 16 patients with benign tumors died of other diseases, 13 with malignant tumors survived for a period ranging from 21 months to 8 years, and the others with malignancy died of local recurrence or distant metastasis. All 11 patients with metastatic tumor died of carcinomatous diseases within 10 to 76 months. Conclusion： A restricted radical excision should be conducted first in cases of primary costal tumors without pathological diagnosis. Use of suitable repairing materials is very important for reconstruction of a large chest wall defect.

关 键 词：胸壁肿瘤 胸壁大块缺损 修复手术 

分 类 号：R734.4[医药卫生—肿瘤]