论文部分内容阅读
目的 探讨采用带骨干的人工关节置换术治疗骨端骨肿瘤的手术方法及效果。方法 骨肿瘤患者 2 8例 ,年龄 18～76岁 ,骨肉瘤 11例 ,骨巨细胞瘤 10例 ,软骨肉瘤 2例 ,骨转移瘤 2例 ,恶性纤维组织细胞瘤 1例 ,动脉瘤样骨囊肿 1例 ,骨软骨瘤 1例。其中股骨上段 7例 ,股骨下段 6例 ,胫骨上段 10例 ,肱骨上段 5例。经正常组织切除肿块 ,行带骨干的人工关节置换术。对放化疗敏感的予以相应治疗。结果 本组 2 8例经 16个月至 15年随访 ,18例死亡 ,9例无瘤存活 ,1例带瘤存活。多数患者术后获得了较好关节功能及生活质量。结论 带骨干的人工关节置换术适用于骨端骨肿瘤的治疗 ,骨干假体的设计有待改进
Objective To investigate the surgical methods and effects of using artificial bone arthroplasty in the treatment of osteosarcoma. Methods Twenty-eight patients with bone tumor, aged 18-76 years, 11 osteosarcoma, 10 giant cell tumor, 2 chondrosarcoma, 2 bone metastasis, 1 malignant fibrous histiocytoma, 1 aneurysmal bone cyst 1 case, osteochondroma in 1 case. Among them, there were 7 cases of upper femur, 6 cases of lower femur, 10 cases of upper tibia and 5 cases of upper humerus. After the removal of normal tissue mass, the line with the backbone of artificial joint replacement. Chemotherapy-sensitive to be treated accordingly. Results The group of 28 cases were followed up from 16 months to 15 years, 18 died, 9 survived without tumor and 1 survived with tumor. Most patients got better joint function and quality of life after operation. Conclusions The artificial joint replacement with bone is suitable for the treatment of bone-edge bone tumors. The design of the backbone prosthesis needs to be improved