摘要
目的探讨国产人工全股骨在股骨受到病变广泛侵害的病例,特别是在股骨部侵袭范围大的恶性肿瘤中的应用.方法回顾分析我院2003年3月至2008年11月间收治的5例股骨中下段恶性肿瘤患者所行的国产人工全股骨置换术,术后随访9～76个月,平均42.5个月,1例患者在术后6月出现双肺转移,行化疗后,于术后15个月死亡,余4例均无瘤存活至今.结果5例患者均在术后2周复查X-ray,髋关节、膝关节位置良好,无脱位及松动,关节功能术后9个月依Ennecking骨骼肌肉系统肿瘤术后功能重建评估系统,功能评分为优者4例,良1例,其中评分为优者占80%,患者生活基本能自理.结论使用国产人工全股骨假体行全股骨置换术,是在慎重选择手术适应症前提下的一种有效方法.
Objective To explore the application especially in malignant tumor of femur with wide invasion. of Domestic artificial total femur in femur lesion, Methods We retrospectively analyzed five cases of domestic artificial total femur replacement for patients with malignant tumors in the lower segment of femur in our hospital from March 2003 to November 2008. Patients were followed up for 9 - 76 months, an average of 42.5 months. One patient was found with lung metastasis 6 months after operation, received chemotherapy, and died 15 months after operation. The other four patients survived till today. Results 5 patients received X-ray reexamination two weeks after operation, and their hip and knee joints had good location, no dislocation and loosening of joints was found. Joint function 9 months after operation was evaluated according to musculoskeletal tumors Ennecking function reconstruction evaluation system, and 4 cases had excellent function scores, 1 case had good function score. The patients with excellent function scores accounted for 80%, and these patients had the ability to take care of themselves. Conclusion The use of domestic artificial femoral total femur replacement surgery is an effective method under the premise of careful choosing the surgical indications.
出处
《昆明医学院学报》
2009年第10期95-98,共4页
Journal of Kunming Medical College
关键词
国产
人工全股骨
定制
应用
Domestic
Artificial total femur
Custom
Application
