摘要
【目的】探讨骨盆恶性肿瘤的不同术式的选择和重建方法。[方法]2002年1月至2009年1月收治的符合入选标准的骨盆恶性肿瘤患者54例，依据Enneking骨盆肿瘤分区，行I区髂骨翼切除重建18例；Ⅱ区髋臼周围切除与髋臼重建24例；HI区坐、耻骨局部切除7例；Ⅳ区切除范围涉及骶骨5例，随访时间1～5年。【结果】术后随访显示所有患者均可下地行走，8例局部复发，13例出现并发症，2例死亡。【结论】根据骨盆肿瘤部位选择相应术式，可最大限度保留肢体功能。但重建方法的选择应权衡不同方法的优缺点，以减少并发症发生。
[Objective] To explore different methods of the operation and reconstruction of pelvis malig- nant tumor. [Methods] Fifty four patients with pelvis malignant tumor admitted from Jan. 2002 to Jan. 2009 were enrolled in this study. According to the Enneking pelvic tumor division, 18 cases underwent ilial wing excision and reconstruction, and 24 cases underwent the peri acetabular excision and acetabular reconstruction, and 7 cases underwent local excision of ischium and pubis, and 5 cases underwent sacral excision. All patients were followed up for 1~5 years. [Results] Postoperative follow-up showed that all patients could walk, and 8 cases had local recurrence, and 13 cases had complications, and 2 cases died. [Conclusion] According to the sites of pelvic tumor, the corresponding surgery methods should be chosen, and limb functions should be re- served maximally. Nevertheless, the choice of the reconstruction methods should weigh the advantages and disadvantages of different methods in order to reduce the incidence of complications.
出处
《医学临床研究》
CAS
2011年第1期42-44,共3页
Journal of Clinical Research
