摘要
目的 探讨胸壁肿块的诊断和治疗方法。方法 回顾性分析1996年12月至2007年1月间81例胸壁肿瘤患者的临床资料,其中良性肿瘤34例,恶性肿瘤23例,胸壁结核24例,均行胸片检查,阳性率85.2%（69/81）,75例行胸部CT检查,均有阳性发现（100%）。3例转移癌、1例恶性淋巴瘤、2例恶性间皮瘤、4例恶病质的结核患者未手术。34例良性肿瘤、20例胸壁结核患者行单纯切除术;17例恶性肿瘤患者行根治性切除术,其中16例切除后胸壁大块缺损者行M arlex网胸壁重建术。结果 全组无手术死亡,无严重并发症发生。随访78例,良性肿瘤有2例复发,恶性肿瘤术后平均生存时间为1.6（0.5-7）年。结论 CT对胸壁肿瘤的诊断具有较高的价值。胸壁肿瘤不论良恶性均首选手术切除,恶性肿瘤应进行胸壁扩大切除并修复胸壁缺损。
Objective To explore the diagnosis and treatment for chest wall tumor. Methods Clinical data of 81 patients with chest wall tumor from December 1996 to January 2007 were analyzed retrospectively, including 34 cases of ＇benign, 23 cases of malignancy, and 24 cases of tuberculosis. All the cases received chest X-ray examination with a positive rate of 85.2% （69/81）. 75 cases received chest CT, and the positive rate of which was 100%. 34 benign tumors ,20 tuberculosis and 17 malignant tumors were resected except 3 of metastatic carcinoma, 1 of malignant lymphoma, 2 of malignant mesothelioma and 4 of cachectic tuberculosis. In the 17 cases of malignant tumors who underwent radical resection, 16 received chest wall reconstruction with Marlex mesh Results No operation-correlated death or severe complication occurred. 78 cases were followed up, there were 2 benign tumors relapsed. The mean survival period of malignant tumor was 1.6 （ 0.5-7 ） years. Conclusions CT plays an important role in the diagnosis of chest wall tumor. Tumor excision should be preferred for chest wall tumor. Expansile resection and chest reconstruction is strongly recommended for malignant chest wall tumor.
出处
《中国现代手术学杂志》
2007年第3期179-180,共2页
Chinese Journal of Modern Operative Surgery
关键词
胸壁肿瘤
结核
neoplasms, thoracic wall
tuberculosis
