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目的探讨胸骨肿瘤切除钛网重建的临床效果。方法回顾性总结我院2003年6月～2007年8月收治的8例胸骨肿瘤,对其临床表现、影像学表现、手术治疗方法和预后进行分析。结果破坏广泛恶性淋巴瘤2例,软骨肉瘤2例,组织细胞增生症X(嗜酸性肉芽肿)1例,恶性纤维组织细胞瘤2例,单发腺癌骨转移1例。患者均行外科切除并行钛网重建。随访2～5年,结果满意,修补物无松动或外露。结论手术切除是治疗胸骨肿瘤的有效方法 ,钛网是胸壁重建的理想人工材料。
Objective To investigate the clinical effect of titanium mesh reconstruction of sternal tumors. Methods Eight cases of sternal tumors admitted from June 2003 to August 2007 in our hospital were retrospectively reviewed. Their clinical manifestations, imaging findings, surgical treatment and prognosis were analyzed. Results Destruction of a wide range of malignant lymphoma in 2 cases, 2 cases of chondrosarcoma, 1 case of histiocytosis X (eosinophilic granuloma), 2 cases of malignant fibrous histiocytoma, single case of bone metastasis of adenocarcinoma in 1 case. Patients underwent surgical resection and titanium mesh reconstruction. Follow-up 2 to 5 years, the results were satisfactory, no loose or exposed prosthesis. Conclusion Surgical resection is an effective method for the treatment of sternal tumors. Titanium mesh is the ideal artificial material for reconstruction of chest wall.