胸壁肿瘤的外科治疗(附77例报告)

Surgical Management for Chest Wall Tumor (77 Cases Report)

目的：探讨胸壁肿瘤的诊断及外科治疗。方法：回顾分析我科１９８３年～１９９８年７７例胸壁肿瘤外科手术治疗的临床资料。结果：经手术治疗的胸壁肿瘤７７例，原发性胸壁肿瘤６２例（良性４３例，恶性１９例），转移性胸壁肿瘤１５例。本组病例皆取手术治疗，其中对１２例较大骨性胸壁缺损病人采用重建材料修复。结论：胸壁肿瘤临床表现以疼痛及肿块为主，多采用手术治疗。较大的骨性胸壁缺损需用重建材料修复。比较各种胸壁重建材料，硅橡胶绦纶丝网颅骨成型片（颅骨替代品）用于胸壁修补重建，优点鲜明且全面，可以作为一种理想的胸壁修复材料。

Objective: To review the diagnosis and surgical treatment of the chest wall tumor. Methods: 77 patients with chest wall tumor were retrospectively investigated. Results: From 1983 to 1998,77 patients with chest wall tumor underwent surgical resection in our hospital. They included 57 males and 20 females, with ages ranging from 15 to 74 years. 62 patients suffered from primary chest wall tumor, 15 with metastasis. The reconstruction of chest wall was performed in 12 patients with wide chest wall defect after resection. Conclusions: The patients had symptoms such as chest mass and/or chest pain. Most of them must be treated by surgical resection. Wide resection of the chest wall requires reconstruction with rigid prosthetic material. We used the templets of silicone rubber and polyester fibre net for chest wall reconstruction successfully in 4 cases. The templets have been proved not only with good biocompatibility and moderate hardness, but also with easy to cut and handle and with not expensive. It seems to be more suitable and available for chest wall reconstruction.