股骨干转移性骨肿瘤并发病理性骨折的手木治疗  

The Surgical Treatment of Metastatic Tumor in Femural Shaft Combined with Pathological Fracture

作　　者：陈懿[1] 马洪良[1] 李舸[1] 何小梅[1] 王久惠[1] 

机构地区：[1]四川省肿瘤医院,成都610041

出　　处：《肿瘤预防与治疗》2009年第3期309-310,共2页Journal of Cancer Control And Treatment

摘　　要：目的:探讨股骨干转移性骨肿瘤并发病理性骨折手术治疗的方法及意义。方法:回顾分析我院自1999年1月-2008年6月,经手术治疗股骨干转移性骨肿瘤并发病理性骨折24例患者的临床资料,包括治疗方法,术后效果以及生存质量。结果:24例中,所有患者疼痛明显缓解或消失;20例(83.3%)生活质量明显改善,元手术并发症;随访4个月-2年,均存活在3个月以上,术后继续原发肿瘤的治疗。结论:对于股骨干转移性骨肿瘤,在患者身体条件允许情况下宜早期积极手术,采用内固定手术可以缓解疼痛,部分恢复患肢功能,减少并发症,提高患者生存质量。Objective： To explore surgical effect of pathological fracture of femur shaft induced by malignant tumor. Methods： 24 patients treated by operation were analyzed retrospectively from Jan. 1999 to June. 2008. Results： Pain in some patients was strikingly relieved and the others completely vanished. Life quality was improved without complications. Followed up from 4 months to 2 years, all patients lived for more than 3 months and the primary disease was treated. Conclusion： The pathological fractures of femur shaft caused by malignant tumor should be treated actively by operation,so that the patients can improve life quality with less complications and excellent recovery of function.

关 键 词：股骨干 转移性骨肿瘤 病理性骨折 

分 类 号：R738.1[医药卫生—肿瘤] R683[医药卫生—临床医学]