文章简介

出版社:Asian Pac J Cancer Prev

作   者:Yu Qi et al

编   号:10.7314/APJCP.2014.15.11.4535

年   份:2014    点击量:1379

文章摘要

Objective:

      To explore the value of porous titanium alloy plates for chest wall reconstruction after resection of chest wall tumors.

目的:

      旨在探讨切除胸廓肿瘤后多孔钛合金板重建胸廓的疗效评估。

 

Materials and Methods:

      A total of 8 patients with chest wall tumors admitted in our hospital from Jan. 2006 to Jan. 2009 were selected and underwent tumor resection, then chest wall repair and reconstruction with porous titanium alloy plates for massive chest wall defects.

材料与方法:

      自2006年1月至2009年1月,我院收治的8例胸廓肿瘤患者入选并进行了肿瘤切除术,然后采用多孔钛合金板修复并重建严重缺损的胸廓。

 

Results:

      All patients completed surgery successfully with tumor resection-induced chest wall defects being 6.5×7 cm~12×15.5 cm in size. Two weeks after chest wall reconstruction, only 1 patient had subcutaneous fluidify which healed itself after pressure bandaging following fluid drainage. Postoperative pathological reports showed 2 patients with costicartilage tumors, 1 with squamous cell carcinoma of lung, 1 with lung adeno-carcinoma, 1 with malignant lymphoma of chest wall, 2 with chest wall metastasis of breast cancers and 1 with chest wall neurofibrosarcoma. All patients had more than 2~5 years of follow-up, during which time 1 patient with breast cancer had surgical treatment due to local recurrence after 7 months and none had chest wall reconstruction associated complications. The mean survival time of patients with malignant tumors was (37.3±5.67) months.

结果:

      患者肿瘤切除所致的胸廓缺损大小为6.5×7cm〜12×15.5cm,所有患者手术均成功。胸廓重建后两周,仅有1例患者皮下积液,且在引流加压包扎后自愈。术后病理报告显示:2例肋软骨肿瘤,1例肺鳞癌,1例肺腺癌,1例胸廓恶性淋巴瘤,2例乳腺癌胸廓转移和1例胸廓神经纤维肉瘤。所有患者接受了超过2〜5年的随访,在此期间,1例乳腺癌患者由于7个月后局部复发,接受了手术治疗,而所有患者均无胸廓重建相关的并发症。恶性肿瘤患者的平均生存时间为(37.3±5.67)个月。

 

Conclusions:

      Porous titanium alloy plates are safe and effective in the chest wall reconstruction after resection of chest tumors.

结论:

      胸部肿瘤切除后多孔钛合金板重建胸廓是安全、有效的。

 

由MediCool医库软件 医学编辑 余娟 编译

原文来自:Asian Pac J Cancer Prev