摘要
目的:探讨肱骨近端恶性肿瘤切除术后带血管蒂肩胛骨瓣植入灭活瘤段骨重建肩关节的方法。方法:4例肱骨近端骨肉瘤患者(外科分期均为ⅡB),术前均接受新辅助化疗。手术截除瘤段骨,经煮沸灭活后用带血管蒂肩胛骨瓣植入重建肩关节。结果:4例患者随访10～27个月,术后2个月ECT均显示灭活瘤段骨有核素浓聚。3例于12个月左右骨性愈合,1例术后10个月未完全骨性愈合。所有患者均无瘤生存,无局部复发和远处转移,肩关节功能均达到可接受程度。结论:带血管蒂肩胛骨瓣植入灭活瘤段骨重建肩关节手术是一种有效的肱骨近端恶性肿瘤保肢手术,具有独特的优点。
Objective:To explore limb s al vage method in reconstructing proximal humerus defect with vascular pedicle scap ular crest graft intercalating devitaliged tumor segment bone after malignant tumor resection of proximal humerus.Methods :Four patients with proximal hume rus osteosarcomas(surgical stage B)had received neoadjuvant chemotherapy befo re opera tion,the pa-tients underwent reconstruction with vascular pedicled s caplar crest graft intercalated tumor bone segment which has been devitaliged b y boiling.Results:Four patients were followed-up from10to27months.ECT s howed a nuclide con centration in the tumor bone segment area in2months postop eratively.The average time of bone union of3patients was12months.All of pa tients are survival free tumor,no lo cal recurrence and distal metatasis.The f unctions of the shouder joint were satisfactory.Conclusion:The reconstruction of shoulder joint by methed of vascular pedicle scapular crest graft intercala ting devitaliged humerus tumor segment bone is an effective procedure and have its special advantage.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2003年第6期419-423,共5页
Chinese Journal of Clinical Oncology
关键词
肱骨
恶性肿瘤
灭活
带血管蒂肩胛骨瓣
Humerus Malignant tumor Devitalization Pedicl ed scapular crest graft
