Li Wenshan, Zhang Guofei, Ye Chenyang, Yin Degang, Shen Gang, Chai Ying
Department of Thoracic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China.
J Thorac Dis. 2014 Dec;6(12):1851-2. doi: 10.3978/j.issn.2072-1439.2014.11.37.
Those who have undergone sternum resection need graft to stabilize the sternum with steel wire, titanium mesh or polypropylene mesh. The current study reports a case of using autogenous rib graft to reconstruct the sternum after resection. A 53-year-old man, whose chest computed tomography (CT) identified expansive lesions and the presence of osteocytes lesions in the sternum, with no apparent involvement of the mediastina structures, come to our medical center due to pain and a lump of the anterior chest wall. The patient underwent tumor radical resection and sternal reconstruction with autogenous rib graft, and the histopathological examination of the surgical specimen determined the diagnosis of osteosarcoma. The patient has recovered well after the surgery.
那些接受过胸骨切除术的患者需要用钢丝、钛网或聚丙烯网植入物来稳定胸骨。本研究报告了一例使用自体肋骨植入物在切除术后重建胸骨的病例。一名53岁男性,其胸部计算机断层扫描(CT)显示胸骨有膨胀性病变及骨细胞病变,纵隔结构无明显受累,因前胸壁疼痛和肿块前来我院就诊。该患者接受了肿瘤根治性切除及自体肋骨植入物胸骨重建术,手术标本的组织病理学检查确诊为骨肉瘤。患者术后恢复良好。