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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 investigate the diagnosis and surgical treatment of chest wall tumors. Methods: The clinical data of 77 cases of chest wall tumors treated in our department from 1983 to 1998 were retrospectively analyzed. Results: There were 77 cases of chest wall tumors treated by surgery, 62 cases of primary chest wall tumors (43 cases benign, 19 cases malignant), and 15 cases of metastatic chest wall tumors. All the patients in this group were treated with surgery. Among them, 12 patients with large osseous wall defects were repaired with reconstruction materials. Conclusion: The clinical manifestations of chest wall tumors are mainly pain and masses, and surgical treatment is often used. Large bony wall defects need to be repaired with reconstruction materials. Comparing various kinds of chest wall reconstruction materials, the silicone rubber typhoid mesh skull forming piece (skull substitute) is used for chest wall reconstruction and reconstruction, with clear and comprehensive advantages, and can be used as an ideal chest wall repair material.