自体髂骨移植联合钛板胸骨重建一例

Autologous ilium graft combination with titanium plate for sternal reconstruction:A case report

胸骨是胸廓的枢纽性成分,上部和两侧分别与锁骨及肋骨相连,在保护胸壁稳定性方面发挥重要作用。胸骨切除通常会产生大的节段性胸壁缺损,导致胸壁漂浮,必须进行胸骨重建。本文报道1例62岁胸腺鳞状细胞癌伴胸骨转移男性患者,完善相关检查,排除手术禁忌后行胸腺切除、胸骨肿瘤切除并同期行自体髂骨移植联合钛板胸骨重建术。术后随访6个月,患者呼吸运动功能正常,胸廓外观良好。

The sternum is the pivotal component of the thoracic cavity.It is connected with the clavicle and ribs on the upper part and both sides respectively,and plays an important role in protecting the stability of the chest wall.Sternal resection usually results in a large segmental chest wall defect that causes the chest wall to float and requires sternal reconstruction.This paper reports a 62 years male patient with thymic squamous cell carcinoma with sternal metastasis,who underwent thymotomy,sternal tumor resection and autologous lilum graft combined with sternal reconstruction by titanium plate after relevant examination was completed and surgical contraindications were eliminated.The patient was followed up for 6 months,the respiratory and motor functions were normal and the thoracic appearance was good.