四肢骨肉瘤保肢治疗指南  

Guidelines for limb-salvage treatment of osteosarcoma

作　　者：中华医学会骨科学分会骨肿瘤学组 林建华 王臻 胡永成 Chinese Medical Association Society of Orthopedics Bone Oncology Group

机构地区：[1]不详

出　　处：《中华骨科杂志》2019年第1期1-9,共9页Chinese Journal of Orthopaedics

摘　　要：骨肉瘤是最常见的骨原发性恶性骨肿瘤,好发于儿童和青少年,四肢为其主要发病部位。目前,保肢治疗被认为是肢体骨肉瘤的标准治疗方法以及有效的基础治疗手段。我国幅员辽阔,但技术发展不平衡,需要理论涵盖充分、技术指导性强且适用于骨肉瘤治疗领域的保肢治疗指南。因此,本指南从保肢治疗定义、手术方法、疗效评价、术后处理与并发症防治、康复指导与随访建议等方面系统介绍四肢骨肉瘤保肢治疗方法,从而规范和推进保肢手术技术发展,提高保肢治疗成功率。Osteosarcoma is the most common primary malignant bone tumor which usually occurs in children and adolescents, and the limbs are the main site of the disease. At present, limb-salvage therapy is considered to be the standard treatment and effective basic treatment for osteosarcoma. Due to vast territory and unbalanced development of surgical technology, the limb-salvage theoretical and technical guidelines are badly needed. Therefore, this guideline systematically introduces limb-salvage treatment methods for osteosarcoma from the aspects of limb-salvage treatment definition, surgical methods, efficacy evaluation, postoperative treatment and prevention of complications, rehabilitation guidance and follow-up recommendations, so as to standardize and promote the development of limb-salvage surgery techniques and improve the success rate of limb-salvage treatment.

关 键 词：肢体骨肉瘤 保肢治疗 治疗指南 四肢 原发性恶性骨肿瘤 治疗方法 并发症防治 发病部位 

分 类 号：R738.1[医药卫生—肿瘤]