骨肉瘤的治疗多年来仍是迫待解决的问题,传统的高位截肢和放疗,效果甚差,多数作者报道的五年存活率约为20%。本文所指的骨肉瘤即由肉瘤性成骨细胞及其产生的骨样组织为主要结构的恶性肿瘤,不包括软骨肉瘤、纤维肉瘤、骨旁骨肉瘤等。对于本病,目前多采用综合治疗,常用的方法为:①高位截肢或关节离断;②保留肢体(不截肢)的手术;③化学疗法;④放射疗法;⑤免疫疗法。 The treatment of osteosarcoma is still a problem to be solved for many years. The traditional high-level amputation and radiotherapy have poor results. The majority of authors reported that the five-year survival rate is about 20%. Osteosarcomas referred to in this article are malignant tumors that are mainly composed of sarcoma osteoblasts and the osteoid tissue they produce, and do not include chondrosarcomas, fibrosarcomas, and paraskeletal osteosarcomas. For this disease, currently more comprehensive treatment, the commonly used methods are: 1 high amputation or joint off; 2 limb surgery (not amputation); 3 chemotherapy; 4 radiation therapy;