六例胸骨肿瘤的切除与重建报告  

Resection of sternum tumors and chest wall reconstruction in 6 patients

作　　者：戴志兵[1] 武俊申 籍素芝 孙亚超 杨文鹏 江仁兵[1] DAI Zhi-bing;WU Jun-shen;JI Su-zhi;SUN Ya-chao;YANG Wen-peng;JIANG Ren-bing(Department of Bone and Soft Tissue,The Third Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,China)

机构地区：[1]新疆医科大学第三附属医院骨与软组织科,乌鲁木齐830000

出　　处：《中国肿瘤临床与康复》2021年第1期41-45,共5页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨胸骨肿瘤的临床特点、诊治方法和重建方法。方法回顾性选取2015年1月至2018年12月间新疆医科大学第三附属医院收治的6例胸骨肿瘤患者,均行胸骨肿瘤扩大切除术和胸壁重建。结果术后病理诊断,软骨肉瘤3例,纤维瘤病1例,炎症性肌纤维母细胞肿瘤1例,骨巨细胞瘤1例。1例患者术后1周出现切口渗液,经换药及清创后恢复好转,余病例切口均达到一期愈合。术后所有患者循环呼吸功能均正常,随访6~29个月患者均存活,随访期间均无肿瘤复发及转移。结论胸骨肿瘤多为恶性肿瘤,需保证足够的切除范围,无法达到扩大切除时,可行屏障切除。扩切后缺损较大时,需积极重建胸壁的稳定性。Objective To investigate the clinical features,diagnostic methods and reconstruction methods in patients with sternum tumors. Methods Six patients with sterna tumors who received treatment at The Third Affiliated Hospital of Xinjiang Medical University between January 2015 and December 2018 were selected. They underwent resection of the sterna tumors and chest wall reconstruction. Results Postoperative pathological diagnosis showed that 3 patients had chondrosarcoma,1 patient had desmoid tumors,1 patient had inflammatory myofibroblastic tumors and 1 patient had metastatic tumors. Wound exudate occurred in 1 patient at 1 week postoperatively who was healed after dressing and debridement. The rest surgical incisions healed over by first intention. All the patients had normal function of circulatory and respiratory system after the surgery. Over the follow-up period of 6 to 29 months,all the patients were alive and on recurrence or metastasis occurred. Conclusion Sternal tumors were most commonly malignant. A sufficient range of excision needs to be guaranteed. A feasible barrier excision can be an alternative when enlarged excision cannot be achieved. If the defect is large after the resection,chest wall must be stably constructed.

关 键 词：胸骨肿瘤 扩大切除 屏障 胸壁重建 

分 类 号：R738.1[医药卫生—肿瘤]