CAJ | 학술논문

目的：探讨保留骨骺保肢术在儿童及青少年膝关节骨肉瘤中的应用价值。方法：选择49例患者，随机分为两组，观察组24例实施保留骨骺保肢术，非保留组25例实施切除骨骺结合同种异体半关节移植术，比较两组手术时间、术中出血和双下肢长度差距，并对所有患者随访1年，观察组其复发情况和生存情况。结果：保留组手术时间显著短于非保留组(P<0.05)，术中出血少于非保留组(P<0.05)，双下肢长度差距小于非保留组(P<0.05)，两组复发率和死亡率差异无均统计学意义(P>0.05)。结论：保留骨骺的保肢手术对提高手术安全性，减少术后肢体不等长等不良反应效果显著。
목적：탐토보류골후보지술재인동급청소년슬관절골육류중적응용개치。방법：선택49례환자，수궤분위량조，관찰조24례실시보류골후보지술，비보류조25례실시절제골후결합동충이체반관절이식술，비교량조수술시간、술중출혈화쌍하지장도차거，병대소유환자수방1년，관찰조기복발정황화생존정황。결과：보류조수술시간현저단우비보류조(P<0.05)，술중출혈소우비보류조(P<0.05)，쌍하지장도차거소우비보류조(P<0.05)，량조복발솔화사망솔차이무균통계학의의(P>0.05)。결론：보류골후적보지수술대제고수술안전성，감소술후지체불등장등불량반응효과현저。
To explore the application of epiphysis retained limb salvage in the knee osteosarcoma with children and adolescent.Methods:49 cases were randomly divided into two groups,the retention group (24 cases)were used implementation of epiphysis limb salvage surgery,unretention group(25 cases)were used implementation of excision epiphysis with allogeneic bone transplantation,then the operation time,bleeding during operation and limb length gap were compared between two groups,and all patients were followed up for 1 years,recurrence and survival were compared also.Results:The retention group operation time was shorter than unretention group(P<0.05),the intraoperative bleeding was less than than unretention group(P<0.05),lower limb length difference was less than than unretention group(P<0.05),the two groups of recurrence rate and mortality had no difference(P>0.05).Conclusion:Epiphyseal preservation can improve the operation safety and reduce the effect of limb length inequality and other adverse reactions after operation.