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目的探讨骨肿瘤保肢术的骨重建方法。方法选择 Enneking分期 A期的肢体骨肿瘤 16例进行保肢治疗。肱骨近端和桡骨远端切除后以游离自体腓骨近端移植代替 ;胫骨远端切除后给予煮沸灭活原位再植重建 ;股骨远端经广泛切除后以异体半关节移植重建 ,而经边缘切除后的则以异体四分之一关节移植重建。结果 1例术后 2个月发生感染 ,1例术后 8个月肿瘤复发。余 14例获成功保肢。结论瘤段骨灭活再植、自体骨移植和异体骨移植均为骨肿瘤保肢术中骨重建的实用方法
Objective To explore the bone reconstruction method of limb salvage surgery. Methods 16 cases of extremity bone tumor with Enneking stage A were selected for limb salvage treatment. Proximal humeral and radial distal resection of the proximal fibula free autologous transplantation instead; after tibia distal excision boiled inactivated in situ reconstruction; distal resection of the femur after allogeneic hemizygous graft reconstruction, and by the edge After resection of the allogeneic joint transplantation reconstruction. Results One case had infection 2 months after operation and one case had tumor recurrence 8 months after operation. 14 cases were successful limb salvage. CONCLUSIONS: In-vivo bone replantation, autologous bone grafting and allogeneic bone allograft are the practical methods for bone remodeling during the salvage operation