Shiba E, Koyama H, Noguchi S, Nishizawa Y, Kodama K, Terasawa T
Nihon Geka Gakkai Zasshi. 1986 Jul;87(7):797-802.
A total of 32 patients were treated by chest wall resection for primary and recurrent breast cancer or other malignant tumors of the chest wall. Reconstruction of the anterior chest wall was conducted using either acrylic resin plate or myocutaneous flap. Although acrylic resin plate proved to be satisfactory for maintaining stability of the chest wall and protecting important organs in the anterior mediastinum, some patients developed foreign body reactions including local infections, local retention of serous discharge and slight anterior chest pain during a prolonged observation. Reconstruction with myocutaneous flap achieved acceptable stability and caused no such foreign body reactions. We confirmed that myocutaneous flap was the best way to reconstruct the anterior chest wall after full thickness chest wall resection.
共有32例患者因原发性和复发性乳腺癌或胸壁其他恶性肿瘤接受胸壁切除术。采用丙烯酸树脂板或肌皮瓣进行前胸壁重建。尽管丙烯酸树脂板在维持胸壁稳定性和保护前纵隔重要器官方面被证明是令人满意的，但在长期观察中，一些患者出现了异物反应，包括局部感染、浆液性分泌物局部潴留和轻微胸痛。肌皮瓣重建取得了可接受的稳定性，且未引起此类异物反应。我们证实，肌皮瓣是全层胸壁切除术后重建前胸壁的最佳方法。
