CAJ | 학술논문

目的：探讨经皮内固定联合骨成形术，即钢筋混凝土技术，治疗可能发生病理性骨折的股骨近端转移瘤的可行性及临床应用价值。方法选取6例无法耐受外科开放手术且即将发生病理性骨折的股骨近端转移瘤患者，应用经皮内固定联合骨成形术治疗。结果6例手术全部成功，术中及术后无患者出现死亡及肺栓塞，随访手术区域未发生骨折。结论经皮内固定联合骨成形术是治疗可能发生病理性骨折的股骨近端转移瘤的安全有效方法。
목적：탐토경피내고정연합골성형술，즉강근혼응토기술，치료가능발생병이성골절적고골근단전이류적가행성급림상응용개치。방법선취6례무법내수외과개방수술차즉장발생병이성골절적고골근단전이류환자，응용경피내고정연합골성형술치료。결과6례수술전부성공，술중급술후무환자출현사망급폐전새，수방수술구역미발생골절。결론경피내고정연합골성형술시치료가능발생병이성골절적고골근단전이류적안전유효방법。
Objective To discuss the feasibility and clinical application of percutaneous internal fixation (PIF) combined with pecutaneous osteoplasty (POP) for the treatment of metastasis of proximal femur with impending pathological fracture. Methods Six consecutive patients with metastases of the proximal femur, who could not be able to tolerate conventional surgery, underwent PIF together with POP. The results were analyzed. Results The procedure was successfully accomplished in all six patients. Neither pulmonary embolism nor death occurred in all patients during and after the operation. No fracture at operated area was observed during follow-up period. Conclusion For stabilization of proximal femoral metastatic lesion with impending pathological fracture, percutaneous internal fixation combined with pecutaneous osteoplasty is a safe and effective technique.