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作 者:胡清潭[1] 姜其为[1] 苏国礼[1] 沈建中[1] 周之德[1] 罗才尧[1] 曾志军[1]
机构地区:[1]上海第二医科大学附属新华医院骨科
出 处:《上海医学》1989年第8期453-456,共4页Shanghai Medical Journal
摘 要:6例皮质旁骨肉瘤经用冷冻扩大手术治疗,收到良好效果。其中女性5例,年龄为13~32(?):股骨下端5例,胫骨上端1例。冷冻扩大手术4例,髋关节解脱和股骨下端假体置换备1例。随访1年2月~10年,冷冻切除手术4例健康状况良好,余2例分别于术后14和16月因肺部转移死亡。文内对病理和预后关系,以及冷冻切除手术优点进行了讨论。Six cases of juxtacortical osteosarcoma were treated with cryosurgery in 1978-1988. The ages of the patients were between 13 and 32, average 22.7. Five cases were female and one was male. The tumor was at the lower end of femur in 5 cases and at the upper end of tibia in one. Extended cryosurgical resection was performed in 4 cases and disarticulation of the hip joint and artificial prothesis for the lower end of the femur in one each. Postoperative follow-up revealed two patients died of pulmonary metastasis 14 and 16 months after surgery respectively. The 4 patients treated with cryosurgery had lived from 5 years 10 months to 10 years.
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