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间室切除术治疗四肢软组织肉瘤

The campartmentectomy treatment softtissue sarcomas in the extremity

  • 摘要: 报告10例四肢软组织肉瘤行间室切除治疗的临床情况。仅2例为原发。平均随访19.6个月,复发2例(再发病例),转移1例。8例复发病例本次手术前平均复发时间2.2个月,本次术后平均复发时间为8.5个月,明显优于以前的治疗。认为,从控制肿瘤又保留肢体的观点出发,间室切除是一比较理想的术式.然而,其适应症比较窄,仅ⅡA和部分ⅡB者可选用。由于破坏性相当严重,常需同时使用功能重建和组织移植。本文还就与间室切除术有关的问题进行了讨论。

     

    Abstract: The authous reported 10 cases of soft tissue sarcomas in the extremities thatwere treated with campartmentectomy. 8 were recurrent cases. All pationts had thedata of follow-up.The time of follow-up was from 6-43 months(mean 19. 6months).2 cases were local recurrence.One was metastases, The mean recurrenttime of two cases were 8.5 months but it was 2.2 months before the campartmentectomy.Authous believe that the campartmentectomy is a radical operation of morethe advantage with the limb-salvage but only Ⅱ A and the part of Ⅱ B may use.theother problems of the campartmentectomy in the extremities were discussed too.

     

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