股内侧间室软组织肉瘤的手术治疗效果  

Analysis of surgical treatment of soft tissue sarcomas of the adductor compartment

作　　者：赵振国[1] 于胜吉[1] 徐立斌[1] 张鑫鑫[1] 叶智斌[1] 

机构地区：[1]中国医学科学院北京协和医学院肿瘤医院骨科,100021

出　　处：《中华肿瘤杂志》2013年第3期231-233,共3页Chinese Journal of Oncology

摘　　要：目的探讨股内侧间室切除术治疗股内侧问室软组织肉瘤的治疗效果。方法21例股内侧间室软组织肉瘤患者采用股内侧间室切除术治疗，其中8例为初次手术，8例为外院肿物切除后二次手术，5例为外院术后局部复发后再次手术。6例患者术中采用缝匠肌或半腱肌填充术野腔隙。15例患者术后接受辅助性治疗。结果7例（33．3％）患者出现伤口相关并发症，其中3例行清创缝合术，2例经换药后伤12I乙级愈合，1例重置伤口引流管，1例重置引流管后又行清创缝合术。全组21例患者均获得随访，在随访期内无一例患者出现局部复发，但发生多发骨转移和肺转移1例，死亡2例（死于肺转移进展1例，死于心脏疾病1例）。结论采用股内侧间室切除术治疗股内侧间室软组织肉瘤能使患者获得良好的局部控制率，但伤口并发症的发生率较高，需要适当处理。Objective To review the outcomes and complications of 21 consecutive patients with soft tissue sarcomas of the adductor compartment treated in our hospital from July 2006 to March 2012. Methods Medical records of 21 patients who underwent resection of soft tissue sarcomas of the adductor compartment were reviewed. Eight of the patients had primary operation, other eight had secondary radical excision, and five were admitted for tumor recurrence after operation in local hospitals. Six cases used gracilis or sartorius muscle to fill the cavity after removal of adductor muscle group. Fifteen patients underwent adjuvant treatment including radiotherapy and/or chemotherapy. Results Seven patients （33.3%） developed wound complications. Five required further surgery and two received dressing changes. All the patients were followed up for 3 to 60 months. During the follow-up period, no tumor recurrence was found in all the patients, only one case had multiple bone and pulmonary metastases, and two cases died （ one for pulmonary metastasis at 11 months after surgery, and the other died of heart disease at 36 months post operation）. Conclusions Good local control rate can be achieved in patients with soft tissue sarcomas of the adductor compartment by using adductor muscle group resection, but it carries a relatively high rate of wound complications requiring proper management.

关 键 词：软组织肿瘤 股内侧间室 手术 手术后并发症 

分 类 号：R73[医药卫生—肿瘤]