中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
10期
6-7
,共2页
股前外侧皮瓣%恶性肿瘤%组织缺损%修复
股前外側皮瓣%噁性腫瘤%組織缺損%脩複
고전외측피판%악성종류%조직결손%수복
Anterolateral femoral skin flap%Malignant tumor%Raw surface%Repair
目的 探讨应用游离股前外侧皮瓣并辅助术前和术后放疗、化疗一期修复下肢恶性肿瘤切除后组织缺损的疗效.方法 浅表肿瘤术前表面放疗剂量3000～7000 cGy/10～30次,伴骨转移则同时采用大剂量综合性化疗.应用游离股前外侧皮瓣一期修复组织缺损,术后放疗剂量5000～6000 cGy,并常规化疗.结果 皮瓣完全成活,术后缺损组织修复,大部分患者恢复了劳动力或生活能完全自理,5年生存率达92.2%,优良率达68.6%.结论 游离股前外侧皮瓣移植并辅助术前和术后放疗、化疗一期修复下肢恶性肿瘤切除后组织缺损效果理想,明显提高了患者的生存质量.
目的 探討應用遊離股前外側皮瓣併輔助術前和術後放療、化療一期脩複下肢噁性腫瘤切除後組織缺損的療效.方法 淺錶腫瘤術前錶麵放療劑量3000～7000 cGy/10～30次,伴骨轉移則同時採用大劑量綜閤性化療.應用遊離股前外側皮瓣一期脩複組織缺損,術後放療劑量5000～6000 cGy,併常規化療.結果 皮瓣完全成活,術後缺損組織脩複,大部分患者恢複瞭勞動力或生活能完全自理,5年生存率達92.2%,優良率達68.6%.結論 遊離股前外側皮瓣移植併輔助術前和術後放療、化療一期脩複下肢噁性腫瘤切除後組織缺損效果理想,明顯提高瞭患者的生存質量.
목적 탐토응용유리고전외측피판병보조술전화술후방료、화료일기수복하지악성종류절제후조직결손적료효.방법 천표종류술전표면방료제량3000～7000 cGy/10～30차,반골전이칙동시채용대제량종합성화료.응용유리고전외측피판일기수복조직결손,술후방료제량5000～6000 cGy,병상규화료.결과 피판완전성활,술후결손조직수복,대부분환자회복료노동력혹생활능완전자리,5년생존솔체92.2%,우량솔체68.6%.결론 유리고전외측피판이식병보조술전화술후방료、화료일기수복하지악성종류절제후조직결손효과이상,명현제고료환자적생존질량.
Objective To study the effect of free anterolateral femoral skin flap addied radiotherapy and chems primary repair the raw surface of malignant tumor cut on lower limbs.Methods Superficial malignant tumor were given radiotherapy 10～30 times with 3000～7000Gy,and large dose comprehensiveness chems must be given if osseous metastasis occurred.The raw surface of malignant tumor cut on lower limbs were repaired with free anterolateral femoral skin flap,after the operation,radiotherapy were given with 5000～6000Gy,and chems routly.Results All the raw surface of malignant were repaired successfully,most of the patients were retained with labour ability and full self-care.Survival rate of five years was reached to 92.2%.According to the survival quality evaluation criterion,68.6% of patients were gained good effect.Conclusion Free anterolateral femoral skin flap addied radiotherapy and chems could repair primary the raw surface of malignant tumor cut on lower limbs,the effect were good.
