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我院从1964年11月～1990年3月对10例、12例次胸壁恶性肿瘤广泛切除术后的胸壁缺损用涤纶布修补,均获成功。无手术死亡及术后并发症。本组男6例,女4例。年龄17～64岁。组织学类型:软骨肉瘤5例,横纹肌肉瘤2例,肺癌胸壁转移及局部外侵各1例,硬纤维瘤1例。本组病例均切除肋骨。切除缺损面积8×6cm至20×23cm。本文对理想重建材料的要求、选择及涤纶布修补胸壁缺损的有关问题进行讨论。
In our hospital from November 1964 to March 1990, 10 cases and 12 cases of chest wall malformations after extensive resection of the chest wall defect repaired with polyester cloth, were successful. No operative death and postoperative complications. This group of 6 males and 4 females. Age 17 to 64 years old. Histological types: 5 cases of chondrosarcoma, 2 cases of rhabdomyosarcoma, 1 case of lung cancer with chest wall metastasis and local invasion, 1 case of desmoid tumor. All ribs were removed in this group. The defect area was 8 x 6 cm to 20 x 23 cm. This article discusses the requirements of reconstructed materials, the choices, and the issues related to the repair of defects in the chest wall of polyester fabrics.