Qi Yu, Li Xin, Zhao Song, Han Yong
Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China E-mail :
Asian Pac J Cancer Prev. 2014;15(11):4535-8. doi: 10.7314/apjcp.2014.15.11.4535.
To explore the value of porous titanium alloy plates for chest wall reconstruction after resection of chest wall tumors.
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.
All patients completed surgery successfully with tumor resection-induced chest wall defects being 6.5 x 7 cm ~ 12 x 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.
Porous titanium alloy plates are safe and effective in the chest wall reconstruction after resection of chest tumors.
探讨多孔钛合金板在胸壁肿瘤切除术后胸壁重建中的应用价值。
选取2006年1月至2009年1月我院收治的8例胸壁肿瘤患者，行肿瘤切除，然后采用多孔钛合金板对巨大胸壁缺损进行胸壁修复与重建。
所有患者手术均成功完成，肿瘤切除后胸壁缺损大小为6.5×7 cm至12×15.5 cm。胸壁重建后2周，仅1例患者出现皮下积液，经引流后加压包扎自行愈合。术后病理报告显示，2例为肋软骨肿瘤，1例为肺鳞状细胞癌，1例为肺腺癌，1例为胸壁恶性淋巴瘤，2例为乳腺癌胸壁转移，1例为胸壁神经纤维肉瘤。所有患者均随访2至5年以上，其中1例乳腺癌患者术后第7个月因局部复发接受手术治疗，无胸壁重建相关并发症发生。恶性肿瘤患者的平均生存时间为(37.3±5.67)个月。
多孔钛合金板用于胸壁肿瘤切除术后胸壁重建安全有效。
