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为肢体恶性肿瘤患者行瘤段切除重建10例。9例行瘤段切除,其中6例用假体置换,1例行自体腓骨移植,3例未行重建术,其中滑膜肉瘤行广泛扩大切除。有3例患者用自制的甲基丙烯酸甲酯塑料假体行瘤段切除重建,并分别行肩、肘、腕关节成形术及骨间韧带重建。全部病例都给予术后化疗并获随访,最长9年,最短半年,2例局部复发其中1例肺转移死亡。成功率80%。
For the patients with malignant tumors in the body, 10 cases of tumor segment resection and reconstruction were performed. Nine cases underwent tumor resection, of which 6 cases were replaced with prosthesis, 1 case was treated with autogenous iliac bone graft, and 3 cases were not treated with reconstruction. Synovial sarcoma was extensively resected. Three patients were reconstructed with self-made methyl methacrylate plastic prosthesis and shoulder, elbow, wrist arthroplasty, and interosseous ligament reconstruction were performed. All cases were given postoperative chemotherapy and were followed up for a maximum of 9 years, the shortest half a year, 2 cases of local recurrence and 1 of them died of lung metastasis. The success rate is 80%.