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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 operation experience of 12 cases of thoracoscopic resection of thoracic ribs after thoracoscopic surgery. To explore the feasibility of thoracoscopy in the resection of rib tumors and to analyze the pathological types of primary tumors of ribs. Methods: Twelve cases of rib tumor combined with thoracoscopic resection were analyzed. The main clinical manifestations, X-ray and CT diagnosis of rib cancer were analyzed. The pathological and operative methods of primary rib tumor were analyzed in combination with the literature. Results: Thoracoscopic lesions can reach directly to the site, the removal of smooth, less bleeding, faster recovery, leaving less trauma. Conclusion: The primary rib tumors are slightly benign and their pathologies are poorly fibrous hyperplasia. Chondrosarcoma is common, and thoracoscope surgery is suitable for posterior rib tumors. The trauma is small and the recovery is quick. It is worth popularizing.