| 股骨上端转移瘤并发骨折的手术治疗 |
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Received:June 14, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 李东升 |
LI Dong-sheng |
洛阳正骨医院骨肿瘤科,河南洛阳471002 |
Department of Bone Tumor of Luoyang Orthopaedics Hospital,Luoyang 471002,Henan,China |
luoyanglds@163.com |
| 冯峰 |
FENG Feng |
洛阳正骨医院骨肿瘤科,河南洛阳471002 |
Department of Bone Tumor of Luoyang Orthopaedics Hospital,Luoyang 471002,Henan,China |
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| 古建立 |
GU Jian-li |
洛阳正骨医院骨肿瘤科,河南洛阳471002 |
Department of Bone Tumor of Luoyang Orthopaedics Hospital,Luoyang 471002,Henan,China |
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| 张志勇 |
ZHANG Zhi-yong |
洛阳正骨医院骨肿瘤科,河南洛阳471002 |
Department of Bone Tumor of Luoyang Orthopaedics Hospital,Luoyang 471002,Henan,China |
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| 郭建刚 |
GUO Jian-gang |
洛阳正骨医院骨肿瘤科,河南洛阳471002 |
Department of Bone Tumor of Luoyang Orthopaedics Hospital,Luoyang 471002,Henan,China |
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| 黄满玉 |
HUANG Man-yu |
上海中医药大学 |
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| 期刊信息：《中国骨伤》2006年19卷，第2期，第75-77页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨股骨上端转移瘤并发骨折的手术方法选择和疗效。
方法:1998年10月-2004年3月,收治股骨上端转移瘤并发骨折11例,男8例,女3例;年龄51~74岁,平均65岁。采用瘤段切除,人工假体置换术7例;瘤体刮除,骨水泥填充,带锁髓内钉固定4例。
结果:获随访8例,随访时间10~82个月,平均46个月。术后肿瘤复发1例,无假体松动、感染等并发症。术后1年内死亡2例,2年内死亡3例,3年内死1例,余1例髋关节功能良好。
结论:人工假体置换术可立刻恢复骨骼的连续性及关节功能,是股骨近端转移瘤并发骨折的治疗首选。肿瘤刮除和骨水泥填充后带锁髓内钉固定能维持肢体长度和连续性,保持肢体功能。 |
| [关键词]:肿瘤转移 股骨骨折 外科手术 |
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| Surgery for metastasis tumor of the proximal femur with pathological fracture |
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Abstract:
Objective:To explore the operative methods and outcomes of metastasis tumor of the proximal femur with pathological fracture.
Methods:From October 1998 to November 2003,11 patients(8 male and 3 female;the average age of 65 years ranging from 51 to 74 years)with metastasis tumor of the proximal femur with pathological fracture were treated by two methods of surgical procedures respectively:7 cases with artificial joint replacement after tumor curettage,4 cases with interlocking intramedullary screw fixation after tumor cutting and methacrylate cement filling.
Results:Though only 8 cases followed up from 10 to 82 months with mean 46 months,the functional outcomes of all patients were good excepting 1 case of recurrence.There was no infection or other complications.But 2 cases,3 cases and 1 case died in 1,2 and 3 years after operation respectively.
Conclusion:According to this review study,it seem that the artificial joint replacement is the first choice for recovering the sequential skeletal joint and function of hip joint.The methods of interlocking intramedullary screw fixation after tumor cutting and methacrylate cement filling can be maintain sequential limb,limb length and function. |
| KEYWORDS:Neoplasm metastasis Femoral fractures 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: | 李东升,冯峰,古建立,张志勇,郭建刚,黄满玉.股骨上端转移瘤并发骨折的手术治疗[J].中国骨伤,2006,19(2):75~77 |
| 英文格式: | LI Dong-sheng,FENG Feng,GU Jian-li,ZHANG Zhi-yong,GUO Jian-gang,HUANG Man-yu.Surgery for metastasis tumor of the proximal femur with pathological fracture[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(2):75~77 |
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