摘要
目的探讨累及血管的下肢恶性肿瘤的保肢方法。方法2例下肢巨大包块患者,术前通过影像学检查明确血管受累情况,切除肿瘤后应用自体静脉移植重建血供。结果术后患者下肢血供良好,分别随访12个月和22个月无复发。结论累及血管的恶性肿瘤的治疗非常复杂,部分患者仍可通过血管修复和重建手段进行保肢治疗。
Objective To report the limb salvage surgery for lower extremity with major blood vessels invaded by tumors. Methods Two patients, with major vessels of extremity were invaded by tumor, were included. Case one, male, 40 years oht, a ball-like mass about 102 cm × 72 cm×45 cm on the left leg, occupying from the inferior ahdomen to the knee, which was diagnosed as sareoenehondroma. Case two, female, 63 years old, a mass about 50 cm × 30 cm× 26 cm on the left leg, from the left inferior abdomen to the knee, diagnosed as liposarcoma. Before operation, Doppler ultrasonography and CT examination or MRI scanning were used to indicate the relationship of tumor and vessels. After the tumor was removed, the arterial reconstructions were performed by using great saphenous vein allograft. Results After surgical treatment, the blood circulation and nervous function of the left legs of the two patients were basically normal. The two patients were followed up for 12 or 22 months respectively, and no tumor recurrence. Conclusion The surgical treahnent for patients with malignant tumor affeeting arteries is complicated. For some patients with major vessels invaded hv hnnor, the combination of tumor removal and major blood vessels reconstruction is a practical method.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2007年第13期1340-1342,共3页
Journal of Third Military Medical University
关键词
恶性肿瘤
保肢
血管受累
malignant tumor
limb reservation
major vessels invaded
