瘤段切除灭活再植治疗老年四肢恶性骨肿瘤疗效探讨  

The Clinical Observation of Tumor Segment Resection and Inactivated Replantation in Treatment of Elderly Limb Malignant Bone Tumor

作　　者：邵泰宗 

机构地区：[1]云南省西双版纳农垦医院骨科,云南西双版纳666100

出　　处：《中外医疗》2015年第34期83-84,共2页China & Foreign Medical Treatment

摘　　要：目的探讨瘤段切除灭活再植治疗老年四肢恶性骨肿瘤的疗效。方法整群选择该院2012年5月—2014年5月期间骨科收治的四肢恶性骨肿瘤老年患者90例,根据手术治疗方案将其分为研究组(行瘤段切除灭活再植治疗)45例及对照组(行人工假体置换治疗)45例。结果研究组治疗的优良率为75.55%,显著高于对照组的55.56%(P<0.05)。研究组治疗6个月后KPS生活质量评估量表得分为(54.8±18.5)分,显著高于对照组的(44.5±18.5)分(P<0.05)。结论瘤段切除灭活再植治疗老年四肢恶性骨肿瘤疗效确切,可以有效保证患肢恢复效果及术后生活质量,适于临床应用。Objective To study the effect of tumor segment resection and inactivated replantation in treatment of elderly limb malignant bone tumor. Methods 90 cases of elderly patients with limb malignant bone tumor treated in the department of orthopedi in our hospital from May 2012 to May 2014 were divided into study group （treated with tumor segment resec-tion and inactivated replantation treatment ） and control group （treated with artificial prosthesis replacement therapy） with 45 cases in each. Results The excellent and good rate of the study group was 75.55%, which was significantly higher than that of the control group （55.56%） （P〈0.05）. After 6 months of treatment, the quality of life of KPS in the study group（54.8±18.5） was significantly higher than that in the control group （44.5±18.5）（P〈0.05）. Conclusion The efficacy of tumor segment resection and inactivated replantation in treatment of elderly limb malignant bone tumor is definite, which can effectively guarantee the recovery of the affected limb and postoperative quality of life, and it is suitable for clinical application.

关 键 词：瘤段切除 灭活再植 老年 四肢恶性骨肿瘤 

分 类 号：R5[医药卫生—内科学]