Clinical analysis on pedicle great omentum grafting for radiation-induced chest ulcer and sternal osteomyelitis of malignant tumor
Objective To explore the clinical effects of pedicle great omentum grafting for radiation-induced chest ulcer and sternal osteomyelitis of malignant tumor.Methods A total of 4 cases with malignant tumor suffering from radiation-induced chest ulcer and sternal osteomyelitis were analyzed retrospectively,and all were treated by pedicle great omentum grafting.The therapeutic effect was observed.Results All 4 patients underwent pedicle great omentum grafting successfully.The operative duration was 85-150 min,the blood loss was 200-700 ml,and the days of hospitalization was 22-99 d.Except for decreased ulcer and residual fistula in 1 patient,and the patient was cured after 6 months of outpatient dressing change after discharge.All the other patients were successfully cured and discharged from hospital without a second surgery.1 case died of lung cancer with liver metastasis,while there was no recurrence in 3 cases to date.Conclusion Pedicle great omentum grafting is a safe and effective surgical option for radiation-induced chest ulcer and sternal osteomyelitis of malignant tumor.
Sternal osteomyelitisMalignant tumorChest ulcerPedicle great omentum graftingRadiation therapy
NETL
NSTL
万方数据
维普
