胸壁巨大肉瘤切除伴碳纤维人工肋骨重建和背阔肌肌皮瓣移植1例

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中图分类号：R734.4，R655.1 文献标志码：A DOI：10.11958/20252793

Abstract：Chestwallsarcoma isamalignanttumor thatoriginates inchestwall，andits treatmentis mainlybasedon surgicalesection.Large chest walldefectsfolowing the excisionof extensive tumors necessitatestructuralreconstructionto preservethoracicstabilityand preventparadoxical respiration.Thisreport presentsacomplexcaseofapatient with recurrent giantchest wallsarcomatreated inour department.The patient had previouslyunderwent treatment such as chemotherapy， radiotherapyandanti-angiogenictargetedtherapy.Thisyear，thetumorhadrecurrd.Ourdepartment，incolaborationwith theorthopedicdepartment，performedachestwall tumorresectionaccompaniedbycarbonfiberartificialribreconstruction andlatissimusdorsi myocutaneous flaptransplantation.Thepatient exhibited stablethoracicarchitecture postoperatively， andthelatissimus dorsi myocutaneous flap healedwell.Thiscaseis presented toprovide insightsandapotentialreference for the management of complex chest wall tumors.

KeyWords： thoracic walltumor; thoracic wallreconstruction;carbon fiber artificial ribs;muscle flap transplantation

原发性胸壁肿瘤占所有胸壁肿瘤的 5% ，来源于骨、软骨或软组织，绝大多数为恶性肿瘤[1]。（剩余7276字）