中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
31期
5075-5079
,共5页
植入物%人工假体%骨植入物%关节植入物%髋关节%重建%骨肿瘤%肿瘤切除%骨盆
植入物%人工假體%骨植入物%關節植入物%髖關節%重建%骨腫瘤%腫瘤切除%骨盆
식입물%인공가체%골식입물%관절식입물%관관절%중건%골종류%종류절제%골분
transplantation,homologous%hip joint%arthroplasty,replacement,hip%bone neoplasms
背景：髋周围骨肿瘤是全身骨肿瘤好发部位，由于累及负重区，肿瘤切除难度大，对手术技术要求较高，同时往往需要重建骨盆及髋关节功能。<br> 目的：比较髋周围骨肿瘤切除后3种不同修复重建方法的效果。<br> 方法：收集2007年1月至2012年12月于武汉大学中山医院进行手术治疗的髋周围骨肿瘤患者20例，其中良性7例，交界性和恶性13例。均以手术切除治疗。8例采用异体骨移植，8例采用人工关节置换，4例采用鞍式假体重建。<br> 结果与结论：20例均获得随访，随访时间5-60个月，平均40个月。根据Enneking评分标准，优8例﹑良5例﹑中4例﹑差3例，评估优良率65%。证实髋周肿瘤采用手术切除治疗，切除后采用异体骨移植、人工关节置换或鞍式假体重建能提高患者生存率，改善患者生活质量，是髋周肿瘤有效治疗方法。
揹景：髖週圍骨腫瘤是全身骨腫瘤好髮部位，由于纍及負重區，腫瘤切除難度大，對手術技術要求較高，同時往往需要重建骨盆及髖關節功能。<br> 目的：比較髖週圍骨腫瘤切除後3種不同脩複重建方法的效果。<br> 方法：收集2007年1月至2012年12月于武漢大學中山醫院進行手術治療的髖週圍骨腫瘤患者20例，其中良性7例，交界性和噁性13例。均以手術切除治療。8例採用異體骨移植，8例採用人工關節置換，4例採用鞍式假體重建。<br> 結果與結論：20例均穫得隨訪，隨訪時間5-60箇月，平均40箇月。根據Enneking評分標準，優8例﹑良5例﹑中4例﹑差3例，評估優良率65%。證實髖週腫瘤採用手術切除治療，切除後採用異體骨移植、人工關節置換或鞍式假體重建能提高患者生存率，改善患者生活質量，是髖週腫瘤有效治療方法。
배경：관주위골종류시전신골종류호발부위，유우루급부중구，종류절제난도대，대수술기술요구교고，동시왕왕수요중건골분급관관절공능。<br> 목적：비교관주위골종류절제후3충불동수복중건방법적효과。<br> 방법：수집2007년1월지2012년12월우무한대학중산의원진행수술치료적관주위골종류환자20례，기중량성7례，교계성화악성13례。균이수술절제치료。8례채용이체골이식，8례채용인공관절치환，4례채용안식가체중건。<br> 결과여결론：20례균획득수방，수방시간5-60개월，평균40개월。근거Enneking평분표준，우8례﹑량5례﹑중4례﹑차3례，평고우량솔65%。증실관주종류채용수술절제치료，절제후채용이체골이식、인공관절치환혹안식가체중건능제고환자생존솔，개선환자생활질량，시관주종류유효치료방법。
BACKGROUND:The region around the hip is a bone tumor predilection site. It is difficult to conduct tumor resection due to the involvement of weight loading area. Tumor resection requires high surgical technique. The pelvis and hip are often needed to be rebuilt. <br> OBJECTIVE:To compare the effects of three reconstruction methods after tumor resection around the hip. <br> METHODS:From January 2007 to December 2012, 20 patients with bone tumors around the hip were treated by surgery in the Zhongshan Hospital, Wuhan University, including 7 benign tumors, 13 borderline and malignant tumors. Eight patients received al ograft. Eight patients received arthroplasty. Four patients received saddle prosthesis. <br> RESULTS AND CONCLUSION:A total of 20 patients were fol owed up for 5 to 60 months (averagely 40 months). According to Enneking evaluation criterion, the operative outcome was evaluated as excellent in 8 cases, good in 5 cases, average in 4 cases, and poor in 3 cases. Excellent and good rate was 65%. Results suggested that after excision of bone tumors, al ograft, arthroplasty or saddle prosthesis can significantly elevate patient’s survival rate, improve patient’s living quality and is an effective therapy for treating tumors around the hip.
