CAJ | 학술논문

目的：分析髋臼周围肿瘤切除联合髋关节复合重建术的疗效，为髋臼周围肿瘤的治疗提供临床依据。方法2001年5月至2010年5月收治24例髋臼周围肿瘤患者，完全切除肿瘤后采用人工全髋关节加重建钢板、螺钉、钢丝和骨水泥复合重建髋关节，术后对患者进行随访。按照骨与软组织肿瘤协会（ MSTS）功能评估标准进行功能评估。结果24例患者中有1例术中突发双侧肺动脉栓塞死亡，其余均顺利完成手术。23例患者术后4～6个月均能基本正常行走，其中11例髋关节功能正常，10例髋关节屈曲功能获部分恢复。5例伤口愈合延迟，均经换药后愈合；2例术后出现腓总神经损伤，1例术后半年恢复；1例在随访时仍未恢复，采用支具保护。随访12～84个月，中位随访40?0个月，随访率为100?0％；死亡2例，复发4例（2例已死亡），21例生存（13例无瘤生存，8例带瘤生存）。 MSTS评分为（23?8±9?2）分，优良率达87?0％（20／23）。结论髋关节复合重建术治疗的患者短期随访可获较好的髋关节功能，同时髋关节复合重建术操作较为简单且费用低，适用范围较广。
목적：분석관구주위종류절제연합관관절복합중건술적료효，위관구주위종류적치료제공림상의거。방법2001년5월지2010년5월수치24례관구주위종류환자，완전절제종류후채용인공전관관절가중건강판、라정、강사화골수니복합중건관관절，술후대환자진행수방。안조골여연조직종류협회（ MSTS）공능평고표준진행공능평고。결과24례환자중유1례술중돌발쌍측폐동맥전새사망，기여균순리완성수술。23례환자술후4～6개월균능기본정상행주，기중11례관관절공능정상，10례관관절굴곡공능획부분회복。5례상구유합연지，균경환약후유합；2례술후출현비총신경손상，1례술후반년회복；1례재수방시잉미회복，채용지구보호。수방12～84개월，중위수방40?0개월，수방솔위100?0％；사망2례，복발4례（2례이사망），21례생존（13례무류생존，8례대류생존）。 MSTS평분위（23?8±9?2）분，우량솔체87?0％（20／23）。결론관관절복합중건술치료적환자단기수방가획교호적관관절공능，동시관관절복합중건술조작교위간단차비용저，괄용범위교엄。
Objective To investigate the clinical effects of hip arthroplasty plus composite reconstruction for periacetabular tumors. Methods The hip joint was reconstructed with total artificial hip, reconstruction plate, screws, wire and bone cement. The patients were followed up postoperatively. The functional assessment was conducted with the Musculoskeletal Tumor Society Rating Scale( MSTS) . Results Despite of 1 patient with sudden death due to bilateral pulmonary embolism, the rest were successfully opera-ted. Twenty-three patients could basically walk properly with 11 cases of normal hip function and 10 cases of hip flexion function par-tially restored. There were 5 patients of delayed wound healing. Out of 2 patients with peroneal nerve injure, one got recovery at 6th month postoperative and one did not restore during the follow-up with the use of protective brace. The follow-up ranged 12 to 84 months with the median of 40?0 month and the follow-up rate reached 100?0%. Two patients died and four recurred( 2 patients died) , while 21 patients survived(13 cases of tumor-free survival, 8 cases survived with tumor). The MSTS score was(23?8±9?2) with excellent rate of 87?0%( 20/23) . Conclusion The hip function was good in patients with periacetabular tumors after hip arthroplasty plus composite reconstruction during short-time follow-up.