中国骨盆恶性肿瘤保肢治疗30年的发展与进步  

Pelvic limb-salvage surgery for malignant tumors:30 years of progress in China

作　　者：郭卫[1,2] GUO Wei(Department of Orthopaedic Oncology,Peking University,People’s Hospital,Beijing,100044,P.R.China;Sarcoma and Rare Tumor Center,Peking University,People’s Hospital,Beijing,100044,P.R.China)

机构地区：[1]北京大学人民医院骨肿瘤科,北京100044 [2]北京大学人民医院肉瘤及罕见肿瘤诊疗中心,北京100044

出　　处：《中国修复重建外科杂志》2022年第7期781-789,共9页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：本文回顾了中国近30年来在骨盆恶性肿瘤保肢治疗领域,外科技术和功能重建方面所取得的发展与进步。以不同部位骨盆肿瘤切除的手术分型为基础,详述了手术技术及骨缺损修复重建方法的发展历程。近年来,针对骨盆肿瘤切除后生物重建这一世界性难题,我国研究人员在国际上首次系统性地提出了不同部位肿瘤切除后骨缺损修复重建方法和假体设计。此外,还针对骨盆肿瘤累及骶骨这一棘手情况率先提出了系统的外科分型(Beijing分型),及相应的外科手术方案及修复重建方法。经过不懈努力,目前中国骨盆恶性肿瘤保肢率已达到80%以上,使广大患者保留肢体并恢复了行走功能,大幅降低了手术并发症,取得了国际瞩目的成绩。This article reviews the development and progress in the field of limb salvage treatment,surgical techniques,and function reconstruction of pelvic malignant tumors in China in the past 30 years.Based on the surgical classification of pelvic tumor resection in different parts,the development of surgical techniques and bone defect repair and reconstruction methods were described in detail.In recent years,in view of the worldwide problem of biological reconstruction after pelvic tumor resection,Chinese researchers have systematically proposed the repair and reconstruction methods and prosthesis design for bone defects after resection of different parts for the first time in the world.In addition,a systematic surgical classification(Beijing classification) was first proposed for the difficult situation of pelvic tumors involving the sacrum,as well as the corresponding surgical plan and repair and reconstruction methods.Through unremitting efforts,the limb salvage rate of pelvic malignant tumors in China has reached more than 80%,which has preserved limbs and restored walking function for the majority of patients,greatly reduced surgical complications,and achieved internationally remarkable results.

关 键 词：骨盆恶性肿瘤 功能重建 外科分型 保肢治疗 

分 类 号：R738[医药卫生—肿瘤]