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1989-1995年作者应用瘤段切除酒精灭活再植、瘤段切除异体半关节移植、瘤段切除带膝下外血管腓骨半关节移植、瘤段切除远端再植、瘤段切除人工假体置换、肿瘤病灶刮除髓内钉骨水泥内固定、单纯广泛性肿瘤段截除、骼内A灌注十栓塞等八种术式对26例骨肿瘤患者施行挽救肢体手术。按照Enneking的骨肿瘤外科治疗后功能评定标准,本组优良率达84.6%。作者认为瘤段切除酒精灭活再植,安全可靠,方法简单经济,是治疗肢体恶性骨肿瘤方便的治疗手段。并对DSA插管化疗或加栓塞在挽救肢体手术中的意义及肢体骨转移癌手术治疗的价值进行探讨。
In 1989-1995, the authors used tumor resection alcohol inactivated replantation, tumor resection allograft hemiarthroplasty, tumor resection with sub-knee external vascular iliac hemiarthroplasty, tumor resection distal replantation, tumor resection artificial prosthesis replacement , Eighty-six surgical procedures such as scraping off intramedullary nail cement fixation, simple generalized tumor segment removal, intra-arterial A-perfusion, and ten embolizations were performed on 26 cases of bone tumors to save limb surgery. According to Enneking’s criteria for functional assessment after surgical treatment of bone tumors, the excellent and good rate in this group was 84.6%. The authors believe that the resection of tumor segmental resection of alcohol is safe and reliable, and the method is simple and economical. It is a convenient treatment for the treatment of malignant bone tumors of the limb. The value of DSA intubation chemotherapy or embolization in salvage limb surgery and the value of surgical treatment of limb metastatic bone cancer are discussed.