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自1930年Phemister采用植骨修复瘤体切除后大块骨缺损和1940年Moore用金属假体置换行股骨近端骨巨细胞瘤切除,特别是近20年来,在恶性骨肿瘤的治疗上由于手术前后的辅助化疗、放疗和外科技术的进步,使恶性骨肿瘤患者的存活率明显提高,并已由传统的截肢术向尽可能保存肢体和恢复肢体功能这方面的手术转变和发展。我院于1983~1993年10年期间对36例患者进行了骨盆、肢体潜在恶性骨肿瘤广泛切除,应用人工假体置换修复大块骨缺技术。现报告如下。
Since 1930, Phemister has used bone grafts to repair large bone defects after tumor resection and in 1940 Moore replaced metal giant bone tumors of the proximal femur with metal prosthesis replacement. Especially in the past 20 years, he has undergone surgery in the treatment of malignant bone tumors. Advances in adjuvant chemotherapy, radiotherapy, and surgical techniques before and after treatment have significantly increased the survival rate of patients with malignant bone tumors, and have transitioned and developed from traditional amputation to surgery to preserve limbs and restore limb function. During the 10 years from 1983 to 1993, our hospital performed extensive resection of potentially malignant bone tumors of the pelvis and limbs in 36 patients. Artificial prosthesis replacement was used to repair large bone defects. The report is as follows.