【摘要】目的:探讨四肢软组织恶性肿瘤腔室切除术的优势、疗效及临床价值。方法 对四肢软组织恶性肿瘤进行腔室切除术20例患者临床资料,全部进行随访,对术后患者的临床资料进行回顾性分析研究,判断该术式的疗效及临床推广价值。结果 20例应用腔室切除术的软组织恶性肿瘤患者中,19例术后无复发,局部复发率为5%。结论 对于四肢软组织恶性肿瘤,腔室切除术是较理想的方法。
【关键词】腔室;软组织肉瘤;恶性肿瘤; 保肢手术;屏障切除术;
【Abstract】Objective Discuss the advantages of soft tissue malignant tumor resection of the chamber, curative effect and clinical value.Methods Chamber on soft tissue malignant tumor resection of the clinical data of 20 patients, all follow-up, the clinical data of postoperative patients were analyzed retrospectively study, judge the curative effect of the operation and clinical popularization value. Results 20 cases of application of chamber resection in patients with malignant tumor of soft tissue, 19 cases of postoperative recurrence, local recurrence rate was 5%, the limb function in patients with normal. Conclusion For limb soft tissue malignant tumor, chamber resection is a more ideal method at present.
【key words 】compartment;soft tissue sarcoma(STS);Malignant tumor; extremity retention operation ;barrier resection;
【中图分类号】R738.6 【文献标识码】B【文章编号】1004-4949(2014)04-0162-01
软组织恶性肿瘤(肉瘤)系一组间叶细胞起源、具有不同临床病理特征和生物学行为,极罕见的异质性实体瘤的总称。起源于粘液、纤维、脂肪、平滑肌、横纹肌等具有不同解剖学及病理学特点的源于胚胎期的间叶组织以及外周神经系统肿瘤。在成人的恶性肿瘤中肉瘤大约占1% ,而在儿童约占15%。国内资料统计发病率为1.1~2.0/10万,呈逐年上升趋势 . J Cancer , 2002 ;95 (4) :852~61
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