我院自1986～1996年共手术治疗胸壁结核35例,现报道如下。1 临床资料35例中男23例,女12例,年龄16～58岁,其中胸痛伴胸壁包块18例,胸痛伴胸壁包块表面窦道形成2例,无痛性胸壁包块14例,无明显包块面剧烈胸痛1例。既往有肺结核病史者18例,渗出性胸膜炎病史者11例。10例病人就诊时有结核中毒症状。30例首诊为胸壁结核,5例首诊为胸壁肿瘤、肋间神经痛等,此5例均于术前明确胸壁结核诊断。X线检查:18例肺内有纤增灶和钙化灶,11例显示胸膜增厚,肋膈角闭塞。35例均显示病变区软组织肿块影,16例肋骨边缘不整呈溶骨性破坏。胸壁包块切线位片30例显示胸壁软组织阴影呈半弧形突向胸壁。所有病人均未显示胸椎结核性病变。手术时予胸壁病灶彻底清除。切除两根肋骨者28例,两根以上者7例。创面以5％碳酸氢钠浸洗,以0.1％洗心泰冲洗,将链霉素粉1.0g撒丁刨面上,创口置乳胶管负压引流,以带蒂肌瓣充填残腔,术后局部加压包扎2周,抗结核治疗1年以上。治疗结果:一次手术成功32例,复发3例。其中 Surgical treatment of chest wall tuberculosis in our hospital from 1986 to 1996, 35 cases are reported below. 1 Clinical data 35 patients were 23 males and 12 females, aged 16 to 58 years, including chest pain with chest wall mass 18 cases, chest pain with chest wall surface of the sinus 2 cases, painless chest wall mass in 14 cases, No obvious block surface severe chest pain in 1 case. Previous history of tuberculosis in 18 cases, history of exudative pleurisy in 11 cases. 10 cases of tuberculosis when visiting symptoms of poisoning. 30 cases of first diagnosis of chest wall tuberculosis, 5 cases of the first diagnosis of chest wall tumors, intercostal neuralgia, 5 cases were diagnosed before chest wall tuberculosis. X-ray examination: fibrosis and calcification in 18 cases of lung lesions, 11 cases showed pleural thickening, costophrenic angle occlusion. All of the 35 cases showed soft tissue masses in the lesion area, and 16 cases had osteolytic destruction in the edge of the ribs. 30 cases of chest wall tangential line showed a shadow of chest wall soft tissue semi-arc protruding toward the chest wall. Thoracic tuberculosis was not shown in all patients. Thoracic lesions were completely removed during surgery. 28 cases of two ribs removed, two more than seven cases. The wounds were immersed in 5% sodium bicarbonate and rinsed with 0.1% sodium chloride. The streptomycin powder 1.0g sardine was put on the wound surface, Pressure bandaged 2 weeks, anti-TB treatment for more than 1 year. Treatment outcome: A successful operation in 32 cases, 3 cases of recurrence. among them