CAJ | 학술논문

目的探讨胸骨肿瘤切除并自体肋骨和带蒂大网膜移植进行胸廓重建术的技术要点和临床疗效.方法 2004年1月至2010年3月收治胸骨肿瘤患者12例,其中胸骨柄肿瘤4例,胸骨体肿瘤8例,肿瘤切除同期行自体肋骨和带蒂大网膜移植胸廓重建术.结果 12例均手术顺利,无围手术期死亡,无严重并发症.切口一期愈合,无反常呼吸,术后恢复良好.结论胸骨肿瘤切除并自体肋骨和带蒂大网膜移植胸廓重建术是治疗胸骨肿瘤的有效方法.
목적 탐토흉골종류절제병자체륵골화대체대망막이식진행흉곽중건술적기술요점화림상료효.방법 2004년1월지2010년3월수치흉골종류환자12례,기중흉골병종류4례,흉골체종류8례,종류절제동기행자체륵골화대체대망막이식흉곽중건술.결과 12례균수술순리,무위수술기사망,무엄중병발증.절구일기유합,무반상호흡,술후회복량호.결론 흉골종류절제병자체륵골화대체대망막이식흉곽중건술시치료흉골종류적유효방법.
Objective To discuss the technical points and clinical effects of thoracic reconstruction after resection of the sternal tumnors with autogenous rib graft and pedicle oinental flap. Method A retrospective study was made on 12 patients,who underwent resection of sternal tumors and thoracic reconstruction with autogenous rib graft and pedicle omental flap between January 2004 and March 2010. The tumor involved the manubrium in 4 patients and the sternal body in 8 patients. Results All operations of 12 patients were succeed with no perioperative mortality or severe complications. Incisions healed by primary intention healing,and no paradoxical breathing was found. The postoperative period was uneventful.Conclusion It's an effective way to treat sternal tumors by the resection and thoracic reconstruction with autogenous rib graft and pedicle omental flap.