胸壁肿瘤切除后胸壁大块缺损的修复重建  

Repair and Reconstruction of Mass Chest Wall Defect after Tumor Resection

作　　者：蔡彦力 黄进启 郑勇 

机构地区：[1]湖北省恩施自治州中心医院心胸外科,恩施445000

出　　处：《中国现代手术学杂志》2011年第5期362-363,共2页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨胸壁肿瘤切除后胸壁大块缺损的修复重建方法。方法回顾性分析近10年来24例胸壁肿瘤切除后胸壁大块缺损患者的临床资料,24例患者均联合应用不锈钢丝和绦纶补片进行胸壁重建。结果全组无手术死亡,无胸壁软化及反常呼吸运动,无切口感染,1例术后发生伤口局部积液。全组患者术后随访1月～10年,无1例钢丝断裂及反常呼吸,胸壁凹陷畸形不明显,胸廓外形的满意率达95.8%(23/24)。结论不锈钢丝和涤纶补片是修复重建胸壁大块缺损的一种很好材料,取材方便,操作简便,胸廓稳定性良好,临床疗效确切。Objective To study the operation procedure and repair materials of mass chest wall defect after tumor resection.Methods A retrospective analysis was carried out in 24 consecutive patients who underwent reconstruction of the mass chest wall defect after tumor resection under general anaesthesia from Janunary 2001 to February 2011.Results There was no operative death,softening of chest wall,nor paradoxical breathing.Only one case（4.2%） had local effusion under the wound.All patients were followed up form 1 month to 10 years.There was no steel wire interruption or paradoxical breathing.The satisfaction rate with the shape of thoracic cage was 95.8%（23/24）.Conclusion Stainless steel sils and dacron patches are very useful artificial materials for repair and reconstruction of the mass chest wall defect after tumor resection,with advantages of convenient obtain,easy operation,good thoracic stability and certain clinical curative effect.

关 键 词：胸壁肿瘤 胸壁缺损 重建术 

分 类 号：R734.4[医药卫生—肿瘤]