【摘要】 目的 探讨肩胛骨深方高位肋骨肿瘤,通过跨肩胛骨切口完成肿瘤段切除的手术方式及效果。方法 本组11例,男6例,女5例,年龄18~49岁。病变为双侧肩胛骨深方2~4肋的单发骨肿瘤。其中骨纤维异常增殖症5例,骨囊肿1例,浆细胞瘤2例,转移性肿瘤3例。手术通过跨肩胛切口,确定病变肋骨,两侧剥离并会师,行肿瘤段切除。结果 本组病例术中均获得满意的肿瘤段切除,术后1例病人出现血气胸,抽排积血后康复。比较以往传统手术方式病例,手术时间、手术出血量无明显差异,切口长度明显缩小,康复时间明显缩短。结论 跨肩胛切口是肩胛骨深方高位肋骨肿瘤切除的理想入路,具有损伤小,对功能影响小,康复快的优势。更多还原

【Abstract】 Objective The purpose of this study is to investigate the surgical procedures and curative effect through a small incision on both sides of the scapula for surgical resection the ribs tumor which located under ventral surface of the scapula.Methods The group included 11 patients,6 males and 5 females,aged 18 to49 years.Lesions were bilateral scapula deep square 2 ~ 4 single rib bone tumors.Among them there were five cases of fibrous dysplasia,case of bone cyst,2 cases of plasma cell tumors and metastatic tumors in 3 cases.Surgery incision through cross- scapular,to determine which lesions ribs,cutting the lesions on both sides of the stripping and junction.Results The group obtained a satisfactory excision extension,one case appeared hemopneumothorax postoperatively.Secondly,none of patients occured local recurrence.Thirdly,two patients with metastatic carcinoma died after one year because of multiple metastases.Conclusion Straddling scapular notch is the ideal way to cut off the rib tumor of ventral surface of the scapula.Possessing advantages of a little damage and effect on the function,and rapid recovery.更多还原