活骨移植生物重建在四肢骨肿瘤保肢中的应用

来源 :第17届全国骨肿瘤学术年会 | 被引量 : 0次 | 上传用户:bxybxy0531
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  目的 探讨四肢骨肿瘤的广泛切除后,长段骨关节缺损的修复方法及其疗效。方法 本组15例,男11例,女4例,年龄15~41岁。病理类型:恶性骨巨细胞瘤1例,骨巨细胞瘤术后复发3例,Ewings肉瘤1例、普通型骨肉瘤5例、恶性纤维组织细胞瘤3例,骨化性纤维瘤多次术后复发1例,软骨肉瘤1例。其中桡骨远段4、肱骨3例、股骨3例、胫骨4例、骨盆Ⅰ区1例。行肿瘤广泛或边缘切除,应用吻合血管的腓骨或带腓骨头腓骨近端移植或复合大段异体骨修复骨缺损,移植体行内固定,术后予以抗感染、解痉、抗凝治疗;术后定期复查X线片,血管Dopplar,ECT核素骨扫描。并作关节功能评定。
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  研究目的:当肿瘤同时累及髋臼和髂骨造成术后髋臼和髂骨同时缺损时,临床上没有可以用来重建的人工假体,髂骨的完全缺如会导致马鞍形假体、冰激凌假体及组配式假体没有足够骨
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