Hamabuchi M, Shimizu Y
Department of Orthopaedic Surgery Hyogo Prefectural Tsukaguchi Hospital.
Nihon Geka Hokan. 1991 Sep 1;60(5):375-80.
Removal of the whole sternum for malignant tumor results in a large defect, causing a severe deformity and possible paradoxial movement of the chest wall. Many of thoracoplasty cases after total sternectomy require considerably complicated invasion. Recently, we performed on a patient with chondrosarcoma of the sternum total resection of the sternum including bilateral costal cartilage followed by thoracic reconstruction with polyethylene hard mesh (heavy Marlex mesh). In the present paper, we make a report of the case of thoracoplasty reliable to perform which has produced immediate chest wall stability without postoperative thoracic deformation. Postoperative CT confirmed that the mesh is well infiltrated with fibrous granulation tissue which connected chest muscle. Impairment of respiratory function after the operation is not observed.
因恶性肿瘤切除整个胸骨会导致巨大缺损,引起严重畸形及胸壁可能出现的反常运动。全胸骨切除术后的许多胸廓成形术病例需要相当复杂的侵入性操作。最近,我们对一名患有胸骨软骨肉瘤的患者进行了胸骨全切除术,包括双侧肋软骨,随后用聚乙烯硬网(重型Marlex网)进行胸廓重建。在本文中,我们报告了一例可靠的胸廓成形术病例,该手术产生了即时的胸壁稳定性且术后胸廓无变形。术后CT证实网被连接胸肌的纤维肉芽组织良好浸润。术后未观察到呼吸功能受损。