Shirakusa T
Second Department of Surgery, School of Medicine, Fukuoka University, Japan.
Kyobu Geka. 1996 Jan;49(1):26-30.
Our experience of seven cases with resection and reconstruction of sternum were introduced. The lesions were 1 chondrosarcoma, 1 malignant fibrous histiocytoma, 1 myeloma, 1 fibrous dysplasia, 1 thymic carcinoma and 2 recurrent breast carcinomas. Partial resection of sternum was performed in 6 and subtotal resection in 1. In reconstruction of sternum we have used frequently Marlex mesh for prosthetic material, and pedicled pectoralis major muscle flap and/or rectus abdominis musculocutaneous flap for overlying the prosthesis. All patients are living and well for except one case.
我们介绍了7例胸骨切除与重建的经验。病变包括1例软骨肉瘤、1例恶性纤维组织细胞瘤、1例骨髓瘤、1例骨纤维异常增殖症、1例胸腺癌和2例复发性乳腺癌。6例行胸骨部分切除,1例行胸骨次全切除。在胸骨重建中,我们经常使用Marlex网片作为假体材料,并使用带蒂胸大肌肌瓣和/或腹直肌肌皮瓣覆盖假体。除1例外,所有患者均存活且情况良好。