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目的：探讨胸壁肿瘤切除后胸壁重建的方法。方法：从1986－1998年对29例胸壁肿瘤切除后病人采用多种术式进行了胸壁重建，骨性胸壁的修复包括采用自体组织（阔筋膜、肌瓣、大网膜）及人工替代物（金属支架、钛合金片、Dacron、及Dacron十骨水泥十Dacron三文治式复合体）。皮肤软组织层的修复主要用岛状背阔肌皮瓣及乳房瓣。结果：无手术死亡及局部复发，无严重并发症，恶性肿瘤术后5年生存率为52％。结论：骨性胸壁缺损6cmX6cm以上需行胸壁重建，一般可用自体组织，必要时加用金属支架，大面积缺损（10cmx10cm以上）以三文治式修复法为理想，皮肤软组织缺损的修复可选用岛状背阔肌皮瓣及乳房劈裂瓣。
Objective: To investigate the reconstruction of chest wall after chest wall tumor resection. METHODS: From 1986 to 1998, 29 cases of chest wall tumor resection were performed using a variety of surgical methods to reconstruct the chest wall. The repair of the bony wall consisted of autologous tissue (fascia flap, muscle flap, and omentum) and artificial replacement. (Metal stents, titanium alloy sheets, Dacron, and Dacron ten bone cement ten Dacron sandwich composites). The repair of the skin soft tissue layer mainly uses island latissimus dorsi myocutaneous flaps and breast flaps. Results: There was no operative death and local recurrence, no serious complications. The 5-year survival rate of malignant tumor was 52%. Conclusion: Thoracic wall reconstruction is required for thoracic wall defects more than 6cmX6cm. Autologous tissue is generally available. If necessary, metal stents are used. Large-area defects (above 10cm x 10cm) are ideal for sandwich repair. The repair of skin and soft tissue defects can be done with island backs. Myocutaneous flap and breast split flap.