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目的：探讨胸壁肿瘤术后几种重建胸壁缺损方法的效果。方法：分析我院自１９６５年５月～１９９８年４月期间所行胸壁大块组织切除及重建７０例，良性肿瘤３８例，恶性肿瘤２３例，转移性肿瘤９例。所有肿瘤均切除３～５根肋骨。胸壁缺损面积８ｃｍ×１５ｃｍ × １９ｃｍ× ２３ｃｍ。１４例用克氏钢针，２５例用不锈钢丝，２６例用涤纶（Ｄｅｃｒｏｎ）网修复胸壁缺损。结果；全组无手术死亡，除３例伤口感染和２例呼吸困难外，其他病人恢复良好。术后分别有５例发生远处转移及局部复发。结论：胸壁缺损修复时，骨性支撑硬质材料以钢丝、软质材料以网状材料为最佳，前胸及侧胸壁的缺损应两种材料同时应用，以防止术后反常呼吸的发生，Ｄａｃｒｏｎ网具有组织相容性好、成本较低等优点，但其制作材料和工艺仍需改进。
Objective: To investigate the effect of several methods for reconstructing chest wall defect after chest wall tumor surgery. METHODS: We analyzed 70 cases of large chest wall resection and reconstruction in our hospital from May 1965 to April 1998. There were 38 benign tumors, 23 malignant tumors, and 9 metastatic tumors. All tumors were resected with 3 to 5 ribs. Chest wall defect area 8cm × 15cm × 19cm × 23cm. Fourteen cases were treated with Kirschner wire, 25 cases were treated with stainless steel wire, and 26 cases were treated with Decron mesh to repair the chest wall defect. Results: There were no operative deaths in the whole group. In addition to 3 wound infections and 2 dyspneas, other patients recovered well. There were 5 cases of distant metastases and local recurrences after surgery. Conclusion: When the defect of the chest wall is repaired, the best materials for the bony support are the wire mesh and the soft material. The defect of the chest and the lateral chest wall should be applied simultaneously to prevent the postoperative abnormal breathing. Dacron network has the advantages of good organizational compatibility and low cost, but its production materials and processes still need to be improved.