CAJ | 학술논문

目的探讨股内侧间室切除术治疗股内侧间室软组织肉瘤的治疗效果.方法 21例股内侧间室软组织肉瘤患者采用股内侧间室切除术治疗,其中8例为初次手术,8例为外院肿物切除后二次手术,5例为外院术后局部复发后再次手术.6例患者术中采用缝匠肌或半腱肌填充术野腔隙.15例患者术后接受辅助性治疗.结果 7例(33.3％)患者出现伤口相关并发症,其中3例行清创缝合术,2例经换药后伤口乙级愈合,1例重置伤口引流管,1例重置引流管后又行清创缝合术.全组21例患者均获得随访,在随访期内无一例患者出现局部复发,但发生多发骨转移和肺转移1例,死亡2例(死于肺转移进展1例,死于心脏疾病1例).结论采用股内侧间室切除术治疗股内侧间室软组织肉瘤能使患者获得良好的局部控制率,但伤口并发症的发生率较高,需要适当处理.
목적 탐토고내측간실절제술치료고내측간실연조직육류적치료효과.방법 21례고내측간실연조직육류환자채용고내측간실절제술치료,기중8례위초차수술,8례위외원종물절제후이차수술,5례위외원술후국부복발후재차수술.6례환자술중채용봉장기혹반건기전충술야강극.15례환자술후접수보조성치료.결과 7례(33.3％)환자출현상구상관병발증,기중3례행청창봉합술,2례경환약후상구을급유합,1례중치상구인류관,1례중치인류관후우행청창봉합술.전조21례환자균획득수방,재수방기내무일례환자출현국부복발,단발생다발골전이화폐전이1례,사망2례(사우폐전이진전1례,사우심장질병1례).결론 채용고내측간실절제술치료고내측간실연조직육류능사환자획득량호적국부공제솔,단상구병발증적발생솔교고,수요괄당처리.
Objective To review the outcomes and complications of 21 consecutive patients with soft tissue sarcomas of the adductor compartment treated in our hospital from July 2006 to March 2012.Methods Medical records of 21 patients who underwent resection of soft tissue sarcomas of the adductor compartment were reviewed.Eight of the patients had primary operation,other eight had secondary radical excision,and five were admitted for tumor recurrence after operation in local hospitals.Six cases used gracilis or sartorius muscle to fill the cavity after removal of adductor muscle group.Fifteen patients underwent adjuvant treatment including radiotherapy and/or chemotherapy.Results Seven patients (33.3％) developed wound complications.Five required further surgery and two received dressing changes.All the patients were followed up for 3 to 60 months.During the follow-up period,no tumor recurrence was found in all the patients,only one case had multiple bone and pulmonary metastases,and two cases died (one for pulmonary metastasis at 11 months after surgery,and the other died of heart disease at 36 months post operation).Conclusions Good local control rate can be achieved in patients with soft tissue sarcomas of the adductor compartment by using adductor muscle group resection,but it carries a relatively high rate of wound complications requiring proper management.