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为了探讨胸骨肿瘤扩大切除及有机玻璃修补的临床应用价值,对8例胸骨肿瘤行扩大切除,骨切缘均距肿块边缘2 cm左右行弧形扩大切除,肌肉和皮肤切除适当保守,以利修复胸骨缺损,切除后行胸壁重建及有机玻璃修补。结果8例患者均无胸壁软化、呼吸困难以及排斥反应;X片显示,术后患者胸廓外观良好,重建胸骨位置良好,呼吸运动时有机玻璃胸骨重建处无不适感,术后随访12~72个月。初步研究结果提示,胸骨肿瘤扩大切除能够有效的防止术后复发,有机玻璃修补能较好重建胸壁的稳定性。
In order to explore the clinical application of expanded and resected sternal tumors and plexiglass repair, 8 cases of sternal tumors were expanded and resected. The margins of the margins of tumors were all enlarged and resected by about 2 cm. The muscle and skin resections were appropriately conservative, Sternal defect, resection of chest wall reconstruction and plexiglass repair. Results All the 8 patients had no chest wall softening, dyspnea and rejection; X-ray showed that the postoperative thoracic appearance was good, the position of reconstruction sternum was good, and there was no discomfort in the reconstruction of sternum during respiration. The follow-up was 12 to 72 month. Preliminary results suggest that the expansion of the sternum tumor resection can effectively prevent postoperative recurrence, plexiglass repair can better rebuild the stability of the chest wall.