胸骨肿瘤切除钛网重建术8例报告

Resection of sternal tumor and reconstruction for the chest wall with Titanic Mesh:a report of 8 patients

目的探讨胸骨肿瘤切除钛网重建的临床效果。方法回顾性总结我院2003年6月～2007年8月收治的8例胸骨肿瘤,对其临床表现、影像学表现、手术治疗方法和预后进行分析。结果破坏广泛恶性淋巴瘤2例,软骨肉瘤2例,组织细胞增生症X(嗜酸性肉芽肿)1例,恶性纤维组织细胞瘤2例,单发腺癌骨转移1例。患者均行外科切除并行钛网重建。随访2～5年,结果满意,修补物无松动或外露。结论手术切除是治疗胸骨肿瘤的有效方法 ,钛网是胸壁重建的理想人工材料。

Objeetive To investigate the clinical effect of sternal tumor resection and reconstruction of the chest wall with Titanic Mesh. Methods Eight patients with sternal tumor, who were admitted to our hospital from June, 2003to August, 2007, were analyzed in aspects of clinical manifestations, images, surgical treatment and prognosis. Results The tumor was malignant tumor with an extensive lesion （n=2）, cbondrosarcoma （n=2）, eosinophiIic granuloma （n=l）, malignant fibrohistiocytoma （n=2）, and adenocarcinoma metastasis （n=l）. All patients underwent resection and reconstruction with Titanic Mesh. The results of 2 to 5 years of follow-up were satisfactory, and no implant material exposed or moved. Conclusions The surgical resection is an effective treatment for the tumor in sternum. Ti mesh was a good reconstruction material for chest wall.