Kawamura M, Seki M, Yoshizu A, Naruke M, Yamahata J, Izumi Y, Eguchi K, Horinouchi H, Kato R, Kikuchi K, Kobayashi K
Department of General Thoracic Surgery, School of Medicine, Keio University, Tokyo, Japan.
Kyobu Geka. 1996 Jan;49(1):53-6.
Three methods of chest wall reconstruction using autogenous rib grafts were reported. Fresh non-vascularized autogenous rib graft, vascularized autogenous ribs with muscle-flap, and pasteurized autogenous rib grafts were the materials used in these techniques. They are less convenient than those with artificial materials but afterwards physiologically more natural chest wall will be reconstructed. The third method (pasteurized rib graft) was applied to 22-year-old female with large recurrent desmoid tumor. Six resected ribs were heated in the saline at 60 degrees C for 30 min. and three of them were returned to the former position. Though tumor cells and bacteria are killed under this condition, these heated bone can be revascularized and replaced by normal bone as early as fresh non-vascularized rib graft.
报告了三种使用自体肋骨移植进行胸壁重建的方法。新鲜非血管化自体肋骨移植、带肌瓣的血管化自体肋骨以及经巴氏消毒的自体肋骨移植是这些技术中使用的材料。它们不如使用人工材料方便，但之后可以重建生理上更自然的胸壁。第三种方法（经巴氏消毒的肋骨移植）应用于一名患有复发性巨大硬纤维瘤的22岁女性。将六根切除的肋骨在60摄氏度的盐水中加热30分钟，其中三根放回原位。虽然在此条件下肿瘤细胞和细菌被杀死，但这些加热过的骨头可以像新鲜非血管化肋骨移植一样尽早重新血管化并被正常骨头替代。
