胸骨柄

方法：40具胸骨柄标本测量，测量指标有：胸骨柄长，胸骨柄最大宽，胸骨柄最小宽，胸骨柄厚，胸骨柄前皮质厚，胸骨柄后皮质厚，计算胸骨柄体积。

Methods : Forty dry sternal manubrium specimens were measured , including : manubrium sterni length , maximum and minimum width , thickness , front cortex thickness and back cortex thickness .

从胸锁乳突肌内侧下段穿刺点至胸骨柄后方深距（45.0±9.2）mm，向前内进针角度为17.7°±7.9°。

The distance of percutaneous paracentesis between paracentesis point locating in inferior medial part of sternocleidomastoid and the dorsal point of manubrium sterni was ( 45.0 ± 9.2 ) mm .

经皮从胸骨柄上缘颈静脉切迹穿刺点穿刺至胸骨角后方深距（62.8±14.1）mm。

The distance of percutaneous paracentesis between paracentesis point of Jugular notch locating in superior edge of manubrium sterni and the dorsal point of sternal angle was ( 62.8 ± 14.1 ) mm , paracentesis angle to anterior medial direction was 17.71 °± 7.9 ° .

结果：所有病例均接受胸骨柄切除+自体肋骨植入+胸廓重建术，胸骨柄切除后常规均放置引流管。

They all received chest wall reconstruction with autogenous rib Grafts after manubrium sterni tumor resection . Drainage tube was placed at operative site in all patients .

当我们提起并打开胸腔时，我们实际上要提起胸骨柄（胸骨上面的骨头）向上，同时剑胸骨向肝脏的方向下沉。

Whenever we lift or open the chest , we actually want to lift the manubrium ( bone above the sternum ) upward while we lower the xiphoid process ( bone below the sternum ) downward toward the navel .

结果：50·0%的标本胸骨柄后的两侧胸膜返折部相交在胸骨角平面，6·5%的标本两侧胸膜返折部相交在第1肋平面；

Results The bilateral the pleura returning lines behind the manubrium sterni interacted at the sternal angle plane accounted for 50.0 % of the total specimens and at the first ribs plane accounted for 6.5 % of the specimens ;

结论：胸骨柄切除后自体肋骨植入应用于胸廓重建是安全有效的手术方式，能够良好的恢复胸壁完整性，保持胸壁稳定。

There were nothing abnormal detected after operation . Conclusions : Manubrium sterni tumor resection followed by chest wall reconstruction with autogenous ribs is considered to be a safe and effective treatment for reserving integrity and stability of chest wall .

方法：在60具尸体标本的胸骨上确定24个穿刺点（胸骨柄、胸骨角各3个穿刺点，胸骨体为18个穿刺点），用骨穿针、测力计及游标卡尺等进行测量。

Methods : The puncture was carried out on sixty cadaver specimens with puncture needle and measured with dynamometer and vernier caliper .