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目的 与单纯截肢术比较 ,讨论保肢治疗的临床效果。材料与方法 对 15例ⅡA～ⅡB 期肉瘤患者进行动脉灌注配合根治术的保肢治疗 ,在观察其临床症状改善的同时 ,随机选出 15例单纯截肢骨肉瘤患者在生存率、局部复发率、远隔转移率方面加以对照。结果 动脉灌注治疗对骨肉瘤最明显的症状疼痛 ,有较好的缓解作用。动脉灌注配合根治术与单纯截肢术在远隔转移率、生存率方面对比 ,前者较优于后者 ,在局部复发率方面比较无明显差别。结论 在严格选择适应症的条件下 ,该项治疗技术实用可行 ,并且有着积极的社会意义。
Objective Compared with simple amputation, to discuss the clinical effect of limb salvage therapy. MATERIALS AND METHODS Fifteen patients with stage ⅡA-ⅡB sarcoma were treated with arterial infusion and radical mastectomy. While observing their clinical symptoms, 15 patients with simple amputated osteosarcoma were randomly selected for survival rate, local recurrence rate, Distance transfer rate to be controlled. Results Arterial infusion of osteosarcoma treatment of the most obvious symptoms of pain, have a better response. Arterial infusion with radical surgery and simple amputation in distant metastasis rate, survival rate, the former is better than the latter, the local recurrence rate was no significant difference. Conclusion Under the strict selection of indications, this treatment technique is feasible and has a positive social meaning.