股骨病变切除人工全股骨置换（附6例报告）  

Total Femoral Prosthesis Replacement inManagement of Aggressive Bone Diseases

作　　者：吴捷[1] 张清[1] 徐万鹏[1] 乐守玉[1] 牛晓辉[1] 杨荣利[1] 

机构地区：[1]北京积水潭医院骨肿瘤科

出　　处：《中华骨科杂志》1995年第1期13-16,共4页Chinese Journal of Orthopaedics

摘　　要：从１９８２年１０月～１９９３年６月应用人工全股骨置换治疗股骨病变６例，２男４女。年龄平均为３４．５岁。病变范围均超过股骨全长的２／３，其中３例为反复病理骨折的纤维异样增殖症，１例原发非何杰金氏淋巴瘤合并病理骨折，２例为孤立骨转移癌，术后髋膝关节功能均良好。作者提出该手术对于侵及全股骨、反复病理骨折或有病理骨折倾向，其他治疗方法有困难的良性病变、有保肢指征的节段性切除难以根治的原发恶性骨肿瘤及孤立骨转移癌的患者，不失为一种较好的治疗方法。AbstractSix cases with aggressive bone diseases weretreated by total femoral prosthesis replacement inour hospital since Oct.1982 to June 1993. Meanage was 34.5 years,female 4 and male 2.Morethan 2/3 femur was infiltrated by lesion in all ofsix cases. Three cases with repeated pathologicfracture due to fibrous dysplasia,one case withNon-Hodgkin disease and pathologic fracture,twocases with solitary bone metastatic cancer. All pa-tients had good function of hip and knee joint post-operatively. The author recommended that totalfemoral prosthesis replacement is a comparetivelygood procedure in management of extensive ag-gressive bone disease of femur with repeatedpathologic fracture or primary and secondary ma-lignant lesion with indication of limb salvage.

关 键 词：股骨病变 人工全股骨 置换术 骨肿瘤 

分 类 号：R687.3[医药卫生—骨科学] R738.105[医药卫生—外科学]