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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、Ｄａｃｒｏｎ、及Ｄａｃｒｏｎ＋骨水泥＋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６ｃｍ×６ｃｍ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（１０ｃｍ×１０ｃｍ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 A total of 29 cases of chest wall tumors were resected from 1986 to 1998 using a variety of surgical methods to reconstruct the chest wall. The repair of the bony wall consisted of using autologous tissue (fascia flap, muscle flap, omentum) and artificial replacement ( Metal stent, titanium alloy, Dacron, and Dacron + bone cement + Dacron sandwich composite). 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 The thoracic wall defect should be reconstructed more than 6cm×6cm in the thoracic wall. Autologous tissue can be used generally. If necessary, metal stent is used. Large area defect (10cm×10cm or more) is ideal for sandwich repair. The repair of skin and soft tissue defects is optional. Island latissimus dorsi myocutaneous flap and breast palpebral fissure flap.