摘要
目的 :探讨提高肱骨上端骨肉瘤手术治疗的方法。方法 :收集 1992年～ 1999年连续 2 2例肱骨上端骨肉瘤 ,依据临床表现 ,X线特点及病人要求 ,随机分成两组 ,截肢术组和保肢术组。按照局部复发率 ,远处转移率 (肺转移 ) ,二年生存率等评价临床疗效。平均分别随访 2 1个月、12个月 (9～ 33个月 )。结果 :两组的局部复发率 ,肺部转移率 ,二年生存率 ,截肢术组分别为 2 5 % ,33% ,5 8%。保肢术组分别为 4 0 % ,4 0 % ,5 0 %。本组结果显示 ,截肢术组的临床疗效优于保肢术组。结论 :肱骨上端骨肉瘤的保肢手术仍需改进提高。加强综合治疗 。
Objective:To explore strengthening treatment of proximal humeral osteosarcoma operation.Methods:Collecting a serial of consecutive 22 cases of proximal humerus osteosarcoma form 1992,two groups were divied into randomly,according to clinical persentation,radiological features and patients demanding,that included amputation group and limb salvage group.The operation efficiency was evaluated with those index that contained local recurrence,pulmonary metastases and two-year survival.The following up average last 21±12 months(9-33 months).Results:Two groups clinical effect were appraised through local recurrence,pulmonaty metastases and two-year survival which was 25%,33%,58% in amputation group respectively and 40%,40%,50% in limb salvage group respectively,thus the amputation group should be thought well of the limb salvage.Conclusion:It is necessary that the limb savage procedures of proximal humerus osteosarcoma will be improved by enhancing comprehensive treatment and reforming operation technique,such as resecting tumor lesion thoroughly,especially lesion adjacent bone should be dealed with frezzing adjuvant to resect ect.
出处
《实用骨科杂志》
2002年第6期420-421,共2页
Journal of Practical Orthopaedics
关键词
肱骨上端
骨肉瘤
截肢术
保肢术
Proximal humerus
Osteosarcoma
Amputation
limb salvage
