胸骨肿瘤切除并自体肋骨和带蒂大网膜移植胸廓重建术  

Thoracic reconstruction with autogenous graft of rib and pedicle omental flap after resection of the sternal tumors

作　　者：徐沁孜[1] 孙威[1] 艾波[1] 付向宁[1] 汤应雄[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院普胸外科,武汉430030

出　　处：《中国医师进修杂志》2010年第35期12-14,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨胸骨肿瘤切除并自体肋骨和带蒂大网膜移植进行胸廓重建术的技术要点和临床疗效.方法 2004年1月至2010年3月收治胸骨肿瘤患者12例,其中胸骨柄肿瘤4例,胸骨体肿瘤8例,肿瘤切除同期行自体肋骨和带蒂大网膜移植胸廓重建术.结果 12例均手术顺利,无围手术期死亡,无严重并发症.切口一期愈合,无反常呼吸,术后恢复良好.结论 胸骨肿瘤切除并自体肋骨和带蒂大网膜移植胸廓重建术是治疗胸骨肿瘤的有效方法.Objective To discuss the technical points and clinical effects of thoracic reconstruction after resection of the sternal tumnors with autogenous rib graft and pedicle oinental flap. Method A retrospective study was made on 12 patients,who underwent resection of sternal tumors and thoracic reconstruction with autogenous rib graft and pedicle omental flap between January 2004 and March 2010. The tumor involved the manubrium in 4 patients and the sternal body in 8 patients. Results All operations of 12 patients were succeed with no perioperative mortality or severe complications. Incisions healed by primary intention healing,and no paradoxical breathing was found. The postoperative period was uneventful.Conclusion It＇s an effective way to treat sternal tumors by the resection and thoracic reconstruction with autogenous rib graft and pedicle omental flap.

关 键 词：胸骨 骨肿瘤 骨移植 胸廓成形术 

分 类 号：R73[医药卫生—肿瘤]