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目的:探讨恶性骨肿瘤切除后,采用不同方法进行保肢治疗的效果,比较其优缺点。方法:回顾性研究我院收治176例恶性骨肿瘤的患者,评估保肢术后的效果、生活质量、并发症等。结果:随访5月~84月(平均39个月),原发骨肿瘤有21例复发;13例发生肺转移;12例死亡。24例骨转移癌患者生活质量明显提高。根据Enneking肢体功能评价标准:优73例,良61例,可24例,差18例。结论:术前和/或术后合理的化疗,掌握好保肢手术的适应症以及术式的正确选择是恶性骨肿瘤保肢成功的关键,必要的外科手术对提高骨转移癌患者的生活质量具有积极意义。
Objective: To investigate the effect of limb salvage treatment by different methods after malignant bone tumor resection, and to compare its advantages and disadvantages. Methods: A retrospective study of 176 cases of malignant bone tumors treated in our hospital to assess the effect of limb salvage, quality of life, complications and so on. Results: Followed up from May to August (average 39 months), there were 21 cases of primary bone tumor recurrence; 13 cases of pulmonary metastasis and 12 cases died. 24 patients with bone metastases significantly improved the quality of life. According to Enneking limb functional evaluation criteria: excellent in 73 cases, good in 61 cases, good in 24 cases, poor in 18 cases. Conclusion: Preoperative and / or postoperative rational chemotherapy, to grasp the indications of limb salvage surgery and the correct choice of surgical approach is the key to the successful salvage of malignant bone tumors. The necessary surgical interventions can improve the quality of life of patients with bone metastases Has a positive meaning.