交锁髓内钉加骨水泥在股骨肿瘤中段缺损重建中的应用  

The application of the intramedullary interlocking nail and bone cement in the reconstruction of the middle femoral large bone defect induced by tumor

作　　者：王子富[1] 尚希福[1] 

机构地区：[1]安徽医科大学附属省立医院骨二科,安徽合肥230001

出　　处：《临床骨科杂志》2013年第1期23-25,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨交锁髓内钉加骨水泥在肿瘤致股骨干中段大范围骨缺损重建中的近期疗效。方法对17例股骨干转移性肿瘤患者采用交锁髓内钉加骨水泥内固定治疗。结果术后切口均一期愈合。17例均获随访,时间3～24个月。肢体疼痛消失15例,减轻2例。疼痛改善程度:VAS评分由术前的8.9分±0.7分降至术后3个月的1.5分±0.7分。患者肢体全部恢复日常活动功能,无骨水泥及髓内钉松动断裂等情况发生。术后3个月按Enneking肌肉骨骼系统肿瘤外科治疗重建术后功能评定标准:优9例,良6例,可1例,差1例。术后5个月死亡1例。结论采用交锁髓内钉加骨水泥内固定治疗肿瘤致股骨缺损,可以获得完全负重时的骨骼稳定性,恢复患者的完全负重能力,减轻其疼痛,提高其生存质量。Objective To investigate the effect of the intramedullary interlocking nail and bone cement in the reconstruction of the middle femoral large bone defect induced by tumor.Methods 17 cases of femoral metastatic tumors were treated with interlocking intramedullary nail and bone cement fixation.Results All patients got primary healing.17 cases were followed up for 3-24 months.The pain disappeared in 15 cases,and eased in 2 case.The degree of pain improvement was evaluated by VAS classification method.VAS was reduced from the average score of(8.9±0.7) in the preoperative to postoperative(1.5±0.7) points in three months.According to Enneking system,the results were excellent in 9 cases,good in 6,fair in 1,and poor in 1.The limb functions recovered for daily routines.There was no loosening or breakage of internal fixation.1 case died in postoperative 5 months.Conclusions It can recover reconstruction internal fixation in the femoral defect induced by tumor,and the full weight bearing ability can recover soon,and can relieve pain and improve the quality of patients′ life.

关 键 词：骨水泥 骨缺损 骨肿瘤 股骨肿瘤 肿瘤转移 交锁髓内钉 

分 类 号：R738.1[医药卫生—肿瘤] R687.3[医药卫生—临床医学]