| 人工关节在恶性骨肿瘤保肢治疗中的应用 |
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投稿时间：2004-09-15
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| 期刊信息：《中国骨伤》2005年，第18卷，第6期，第340-342页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:探讨人工关节在恶性骨肿瘤保肢治疗中的应用疗效。
方法:对21例恶性骨肿瘤患者进行人工关节置换保肢治疗,其中铰链式膝关节10例,股骨近端假体5例,人工肱骨头4例,人工肩胛骨1例,人工肘关节1例。
结果:随访1～7年,平均4年,局部复发率9.5%,最终保肢率90.5%;所有患者人工关节置入均超过6个月,参照Enneking(MSTS)评定标准,平均得分21.2分,优良率76.2%。
结论:人工关节置换术应用于恶性骨肿瘤的保肢治疗可以取得满意的疗效,正确掌握手术适应证、肿瘤的完整切除和软组织重建是手术成功的关键。 |
| 【关键词】人工关节 骨肿瘤 骨科手术方法 |
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| Limb salvage surgery with prosthetic replacement of joints for the treatment of malignant bone tumors |
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ABSTRACT
Objective:To investigate the outcome of applying prosthetic replacement of joints for the treatment of malignant bone tumors.
Methods:Twenty-one patients with malignant bone tumors treated with enbloc resection and prosthetic replacement were reviewed.The types of the prostheses were:10 hinged knee prostheses,5 proximal femoral prostheses,4 proximal humeral prostheses,1 artificial scapula,1 hinged elbow.
Results:The patients were followed-up from 1 to 7 years postoperatively.The local recurrence rate was seen in 9.5% and the final limb salvage rate was 90.5%.According to the functional rating system of the Musculo-skeletal Tumour Society,the mean score was 21.2.The excellent and good rate was 76.2%.
Conclusion:Prosthetic replacement can be used in the limb salvage surgery of patients with malignant bone tumors.Accurately selective indications,enbloc resection of tumors and good soft tissue reconstruction make the operations successful. |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张涛,高延征,赵炬才.人工关节在恶性骨肿瘤保肢治疗中的应用[J].中国骨伤,2005,18(6):340~342 |
| 英文格式: | ZHANG Tao,GAO Yan-zheng,ZHAO Ju-cai.Limb salvage surgery with prosthetic replacement of joints for the treatment of malignant bone tumors[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(6):340~342 |
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