胸腔镜下原发性肋骨肿瘤切除可行性分析

Clinical Application of Ribs Tumors Resection with Video Assisted Thoracoscopic Surgery

目的:分析12例全胸腔镜下原发性胸后肋肿瘤切除术手术经验,探讨胸腔镜在肋骨肿瘤切除术中的应用可行性并文献分析肋骨原发性肿瘤的病理类型。方法:介绍分析12例肋骨肿瘤结合胸腔镜切除病例手术途径方法,及肋骨肿瘤的主要临床表现、X线及CT诊断,结合文献分析原发性肋骨肿瘤病理及手术方法。结果:胸腔镜下能直接到达病变部位,切除顺利,出血少,术后恢复快,遗留创伤小。结论:原发性肋骨肿瘤以良性稍多,病理以骨纤维增生不良、软骨瘤多见,胸腔镜手术适用于后肋肿瘤,创伤小,恢复快,值得推广。

Objective： To analyze the surgical procedures and pathological results of 12 cases of dorsal ribs tumor with video-assisted thoracic surgery （VATS）, and to review the related literatures. Methods： Eight males and four females were included. The radiologic and clinical features and the surgical procedures were retrospectively studied. Results： All the 12 cases of dorsal ribs tumor re- section were successful. Conclusion： VATS showed less blood lost, quicker recovery and fewer complications as compared with conventional operations, and the VATS is a good choice for the primary tumors of dorsal ribs.