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我们对2例前胸壁肿瘤行广泛切除胸壁全层缺损(10×11cm~2及8×8cm~2范围)后,在不能运用附近肌皮瓣情况下,试用带蒂大网膜从腹部经胸骨后拉向胸壁修补缺损即时游离植皮,结果一期存活。愈合良好,报告如下: 例1,男性,42岁,住院号27655。因15年前左胸前壁平滑肌肉瘤前后4次广泛切除复发。于89年12月27日再次入院,检查一般良好,左胸前壁原多次手术植皮处又一肿块5×6cm~2,固定于胸壁并累及肋骨、胸片(一),全身浅表淋巴结无肿大,
After extensive resection of the chest wall full-thickness defects (10×11cm~2 and 8×8cm~2 range) in 2 patients with anterior chest wall tumors, we used a pedicled omentum from the abdomen through the sternum without using a nearby myocutaneous flap. After pulling the chest wall to repair the defect, it was immediately free of skin grafting, and the result was one-stage survival. Healing was good and the report was as follows: Example 1, male, 42 years old, hospital number 27655. Since 15 years ago, extensive resection and recurrence occurred before and after the leiomyosarcoma of the left anterior chest wall. On December 27, 2007, she was admitted again to the hospital. The examination was generally good. The frontal wall of the left chest was once again implanted with a 5×6cm~2 mass at the skin grafting site. The chest wall was fixed on the chest wall and involved the ribs and chest radiographs (I). The whole body had superficial lymph nodes. No swelling,