带血管蒂腓骨移植在骨肿瘤治疗中的临床疗效及安全性分析  

Analysis of clinical efficacy and safety of vascularized fibula transplantation in the treatment of bone tumors

作　　者：张文涛 高铭 ZHANG Wen-tao;GAO Ming(Department of Surgery,Zaozhuang Maternal and Child Health Hospital,Zaozhuang 277000,China)

机构地区：[1]山东省枣庄市妇幼保健院外科,277000 [2]山东省枣庄市山亭区人民医院骨科,277200

出　　处：《中国实用医药》2021年第30期54-56,共3页China Practical Medicine

摘　　要：目的分析带血管蒂腓骨移植在骨肿瘤临床治疗中的临床疗效和安全性。方法50例骨肿瘤患者,依据腓骨移植方式的不同分为实验组(26例)及对照组(24例)。实验组患者实施带血管蒂腓骨移植,对照组患者实施不带血管蒂腓骨移植。对比两组患者的手术指标,并发症发生情况,术后不同时间的肢体功能。结果实验组患者的术中出血量(533.88±216.45)ml多于对照组的(357.78±205.55)ml、手术时间(5.25±1.15)h长于对照组的(3.35±0.85)h,差异具有统计学意义(P<0.05)。实验组患者的并发症发生率3.85%低于对照组的29.17%,差异具有统计学意义(P<0.05)。实验组患者术后3、6、12个月的Enneking评分分别为(19.75±2.55)、(21.05±2.85)、(23.20±3.45)分,均高于对照组的(14.28±2.30)、(16.65±2.75)、(18.58±3.18)分,差异具有统计学意义(P<0.05)。结论在骨肿瘤临床治疗中应用带血管蒂腓骨移植不但疗效确切,而且手术安全性较高,推广和应用价值较高。Objective To analyze the clinical efficacy and safety of vascularized fibula transplantation in the treatment of bone tumors.Methods A total of 50 patients with bone tumors were divided into experimental group(26 cases)and control group(24 cases)according to different fibula transplantation methods.Patients in the experimental group received vascularized fibula transplantation,and patients in the control group received fibular transplantation without vascularized pedicle.The surgical indicators,comprications,and limb function at different time points after surgery were compared between the two groups.Results The intraoperative blood loss(533.88±216.45)ml of the experimental group was more than(357.78±205.55)ml of the control group,and the operation time(5.25±1.15)h was longer than(3.35±0.85)h of the control group.All the differences were statistically significant(P<0.05).The complication rate 3.85%of the experimental group was lower than 29.17%of the control group,and the difference was statistically significant(P<0.05).The Enneking scores at 3,6,and 12 months after surgery of the experimental group were(19.75±2.55),(21.05±2.85),(23.20±3.45)points,which were all higher than(14.28±2.30),(16.65±2.75),(18.58±3.18)points of the control group,and the difference was statistically significant(P<0.05).Conclusion In the clinical treatment of bone tumors,vascularized fibula transplantation not only has definite efficacy,but also has high surgical safety,which contains high promotion and application value.

关 键 词：骨肿瘤 腓骨移植 带血管蒂 肢体功能 安全性 

分 类 号：R738.1[医药卫生—肿瘤]