外科治疗胸壁肿瘤30例总结

本文对过去11年中手术切除的30例胸壁肿瘤患者进行分析。30例中男18例，女12例；年龄4～61岁（平均33．8岁）；其中原发性肿瘤9例．良性肿瘤18例，转移瘤3例。疼痛与肿块是本病最常见的症状与体征。良性肿瘤全部进行了彻底切除；大多数恶性肿瘤进行了大块广泛切除；其中8例进行了购里缺损的修复与重建。平均随访45年，有4例术后肿瘤局部复发；89％良性肿瘤患者目前存活，而恶性肿瘤目前仅有44％患者存活。广泛切除加适当的胸壁缺损修复是成功治疗购里肿瘤的关键。

SURGICAL TREATMENT OF 30 CASES WITH CHEST WALL TUMOR

This is a review of the treatment of 30 cases with chest tumor undergoing resection in the past 11years. out of 30 cases 18 were male and 12 were female with their age ranging from 4 to 61. 9 patients had pri-mary malignant neoplasms,3 were affected with metastases,and 18 suffered from benign tumor. All those withbeign tumor receivde complete excision while most malignant cases were treated with wide resection. Recon-struction of the chest wall defect was per formed using prosthetic material in 8 cses. Follow-up visits of 4. 5ytars in average show that recurrent tumor was found in 8 cases, 89% of the patients with benign tumor re-mained alive,while only 44% of the those with malignant tumor were alive. The authors conclude that wide radi-cal chest wall resection with appropriate reconstruction is the key to successful management of chest wall tu-mor.