解剖钢板重建肋骨巨大软骨肉瘤术后胸壁1例及文献复习
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1.广西医科大学第一附属医院脊柱骨病外科;2.广西医科大学第一附属医院创伤手外科

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R687.3+2

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Reconstruction of the chest wall after rib giant chondrosarcoma with anatomical plate and literature review
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Department of spinal osteopathy surgery, The First Affiliated Hospital of Guangxi Medical University

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    摘要:

    软骨肉瘤是一种比较常见的骨骼系统恶性肿瘤,占全部原发恶性肿瘤的9.2%,其最常发生于骨盆及股骨。软骨肉瘤发生于肋骨等扁平骨也偶有报道。一般发生在肋骨的软骨肉瘤常常长到很大时才产生临床症状,而目前软骨肉瘤对放疗和化疗都不敏感,根治性手术切除是目前治疗软骨肉瘤最好的办法。但对于巨大肿瘤切除后如何重建胸壁的稳定,防止连枷胸的出现,目前缺乏较好的材料,也没有统一的重建方法。目前国内外关于使用普通骨盆重建钢板重建胸壁的研究尚未见诸于报道。现就胸壁软骨肉瘤患者行肿瘤切除术后应用解剖钢板重建胸腔病例报道如下。

    Abstract:

    Chondrosarcoma is a relatively common skeletal system malignant tumor, accounting for 9.2% of all primary malignancies, and most commonly in the pelvis and femur. Chondrosarcoma occuring in flat bones such as ribs is occasionally reported. It usually grows to a large extent when the clinical symptoms are present. However, Chondrosarcoma is currently not sensitive to radiotherapy and chemotherapy. Radical surgical resection is currently the best method for treating chondrosarcoma. However, there is no good material and no unified reconstruction method for how to reconstruct the stability of the chest wall after the huge tumor resection and prevent the occurrence of the flail chest. At present, the research on reconstructing the chest wall using ordinary pelvis reconstruction plate has not been reported yet. The case of thoracic cavity reconstruction with anatomical plate after tumor resection in patients with thoracic chondrosarcoma is reported below.

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历史
  • 收稿日期:2019-08-21
  • 最后修改日期:2019-08-26
  • 录用日期:2019-09-10
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