摘要
目的 评价骨恶性肿瘤及骨转移癌瘤段切除功能重建的意义。方法 采用 4种方法修复 :①北京亚华公司提供的长柄人工股骨头置换 ;②自制的甲基丙烯酸甲酯假体置换 ;③自体腓骨骨移植 ;④瘤段切除后关节融合术。结果 ①近期疗效 :18例患者术后疼痛消失 14例 ,占 88% ,术后疼痛减轻 2例占 12 % ;下肢瘤段切除人工关节置换者均在 3周内活动 ,10 0 %下床行走 ,其中不使用拐杖者占 66% ,使用单拐者占 33% ;②中远期疗效 :术后随访 5个月～ 13年 ,平均 4 8年 ,现存活共计 11例 ,占 74%。结论 应用上述方法瘤段切除后修复重建 ,能恢复肢体绝大部分或部分功能 ,消除和减轻疼痛 ,延长患者寿命 ,降低残废率 ,提高生存质量。
Objective\ To evaluate the significance of the tumor segment excision of bone cancer and the metastatic bone tumor.Methods\ The following 4 methods were used to repair it:①long handle artificial joints were provided by Beijing Yahua Company;②the self made prosthesis of methyl methaerlate;③self fibula transplant;④the joint fusion operation after tumor segment excision. Results ①Short term curative effect:in 18 patients,14 patients pain was vanished after operation, up to 88%. 2 patients pain was abated, up to 12%.All patients could walk 66% without using walking stick,and 33% using only one walking stick;②middle and long term curative effect:the patients were followed up for 5 months to 13 years after operation, 4 8 years on average.11 patients survived,up to 74%.Conclusion\ The method to repair,reconstruct can reserve most functions of extremities and abate pain, increase life span,decrease the rate of disabled and improve the life quality.
出处
《临床骨科杂志》
2000年第3期194-196,共3页
Journal of Clinical Orthopaedics
