酒精灭活再植并游离腓骨植入治疗股骨远端恶性肿瘤  

Replanting Alcohol Inducer- devitalized Bone Segment Filling in Fibula to Treat the Distal Femoral Osteosarcoma

作　　者：张克民[1] 吕占辉[1] 赵德伟[2] 孙强[2] 王明山[1] 周忠水[1] 张耀[1] 王来旭[1] 

机构地区：[1]山东省滨州市中心医院骨科,山东滨州251700 [2]大连医科大学第四附属医院骨科,辽宁大连116001

出　　处：《实用骨科杂志》2005年第2期120-123,共4页Journal of Practical Orthopaedics

摘　　要：目的　探讨酒精灭活再植并游离腓骨植入治疗股骨远端恶性肿瘤的可行性。方法　我们回顾了自1999年6月至2 0 0 2年5月以来在我科诊治的10例股骨远端恶性骨肿瘤病例。手术方法采用瘤段酒精灭活,腓骨填充再植术。结果　平均随访3年4个月(11个月～6年)。8例无复发,7例膝关节活动范围达6 0°～90°,1例发生感染。结论　结果提示本保肢手术在治疗恶性骨肿瘤中是切实可行的,并可达到较高的成功率。Objective To study the feasibility of Replanting Alcoho inducer- devitalized bone segm ent filling in fibula to treat the distal fem oral osteosarcoma.Methods We retrospected10 cases with distal femoral osteosarcoma. Which were treated with Replanting Alcoho inducer- devitalized bone segm ent filling in fibula in our institution from June 1999to May 2 0 0 2 . Results Through average 2 years and 5 m onths (from 11m onths to 6 years) follow- up,in 8 cases were disease- free,in 7cases the knee joints functioned range of motion from 6 0°to 90°,Deep infection occurred in 1case. Conclusion To treat the distal femoral osteosarcoma,with replanting alcoho inducer- devitalized bone segm ent filling in fibula is feasible,and can get a high rate of success.

关 键 词：酒精灭活再植 股骨远端 恶性肿瘤 植入治疗 游离腓骨 2002年5月 关节活动范围 1999年 恶性骨肿瘤 肿瘤病例 手术方法 保肢手术 再植术 无复发 

分 类 号：R738.1[医药卫生—肿瘤] R683.42[医药卫生—临床医学]