| 特制人工假体在四肢骨肿瘤保肢治疗中的临床应用 |
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Received:July 10, 2003
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| 作者 | Author | 单位 | Unit | E-Mail |
| 陈述祥 |
CHEN Shu xiang |
江门市五邑中医院暨南大学医学院第六附属医院,广东江门529031 |
Wuyi TCM Hospital of Jiangmen,the Sixth Affiliated Hospital of Jinan Medical College(Guangdong Jiangmen,529031,China) |
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| 赵崇达 |
ZHAO Chong da |
江门市五邑中医院暨南大学医学院第六附属医院,广东江门529031 |
Wuyi TCM Hospital of Jiangmen,the Sixth Affiliated Hospital of Jinan Medical College(Guangdong Jiangmen,529031,China) |
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| 刘红光 |
LIU Hong guang |
江门市五邑中医院暨南大学医学院第六附属医院,广东江门529031 |
Wuyi TCM Hospital of Jiangmen,the Sixth Affiliated Hospital of Jinan Medical College(Guangdong Jiangmen,529031,China) |
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| 丁林坚 |
DING Lin jian |
江门市五邑中医院暨南大学医学院第六附属医院,广东江门529031 |
Wuyi TCM Hospital of Jiangmen,the Sixth Affiliated Hospital of Jinan Medical College(Guangdong Jiangmen,529031,China) |
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| 司徒坚 |
SITU Jian |
江门市五邑中医院暨南大学医学院第六附属医院,广东江门529031 |
Wuyi TCM Hospital of Jiangmen,the Sixth Affiliated Hospital of Jinan Medical College(Guangdong Jiangmen,529031,China) |
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| 期刊信息：《中国骨伤》2004年17卷，第3期，第154-156页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨特制人工关节在骨肿瘤保肢术中的应用价值。
方法:对53例骨肿瘤切除、特制人工假体置换重建骨缺损的随访结果进行分析,包括术后疗效、生存情况、功能状况、并发症及处理。肿瘤包括恶性骨肿瘤23例,良性骨肿瘤30例。
结果:23例恶性骨肿瘤:5年无瘤生存率34.8%(8/23),5年生存率52.2%(12/23),局部复发率17.4%(4/23),最终保肢率82.6%。30例良性骨肿瘤并发症发生率为40%(8/20.),总的保肢率为85%(17/23)。
结论:特制人工假体置换可用于骨肿瘤的保肢治疗,但应进一步改善假体设计、固定、软组织重建,降低并发症。 |
| [关键词]:骨肿瘤 人工关节 外科手术 |
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| Clinical application of special-made prosthetic replacement in extremity salvage treatment of patients with bone tumors |
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Abstract:
Objective:To evaluate the application of special made prosthetic replacement in extremity salvage treatment of bone tumors.
Methods:53 patients with bone tumor treated with neoplasms resection and special made prosthetic replacement reconstruct bone losses were reviewed.Their postoperative effects,survivorship,extremity function,complication and its management were analyzed.There were 23 malignant tumors and 30.benign tumors.
Results:In patients with malignant bone tumors in 23 cases,8(34.8%) belonged to disease free survival (DFS) at 5 years after surgery.DFS probability at 5 years was 52.5% (12/23).Local recurrence rate was 17.4% (4/23) and extremity salvage rate was 82.6%.In 30.benign bone tumors,complication occurred in 40% of the patients,and extremity salvage rate was 85%.
Conclusion:Special made prosthetic replacement can be used in extremity salvage surgery of patients with bone tumors.Further improvement in design,fixation and soft tissue reconstruction technique of the prosthetic is needed for reducing the complication. |
| KEYWORDS:Bone neoplasms Joint prosthesis Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈述祥,赵崇达,刘红光,丁林坚,司徒坚.特制人工假体在四肢骨肿瘤保肢治疗中的临床应用[J].中国骨伤,2004,17(3):154~156 |
| 英文格式: | CHEN Shu xiang,ZHAO Chong da,LIU Hong guang,DING Lin jian,SITU Jian.Clinical application of special-made prosthetic replacement in extremity salvage treatment of patients with bone tumors[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(3):154~156 |
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