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下肢骨肉瘤高温隔离灌注化疗初步报告

Hypcrthcrmic Isolation Perfusion for the Treatment of Osteosarcomas of the Extremities:A Preliminary Report

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【作者】 夏贤良杨迪生范顺武黄宗坚许文根徐少文陶惠民何荣新

【Author】 XiaXianliang;Yang Disheng; Fan Shunwu et al (The Second Affili-ated Hospital of Zhejiang Medical University,31 0009 Hangzhou)

【机构】 浙江医科大学附属二院骨科

【摘要】 自1990年8月~1992年7月,作为新辅助化疗之一部分,14例下肢骨肉瘤进行了顺铂或碳铂高温(42℃~42.5℃)隔离灌注化疗,同时结合静脉滴注阿霉素,灌注后所有病人疼痛消失,肿块缩小,关节活动度增加。手术后病理检查13例(92.9%)反应明显,肿瘤坏死率达90%以上(AyalaIII_B级),说明本法局部效果非常良好,十分有利于施行保肢手术。

【Abstract】 AbstractFrom August 1990 to July 1992,as a part of neoadjuvant chemotherapy, 14 patients with stage II_B osteosarcoma in the lower extremities received cisplatinum or carboplatinum hyperthermic ( 42℃ ~42.5℃)isolation perfusion combined with in-travenous doxorubicin administration。All the cas-es showed pain subsidence, tumor mass remission and joint motion improvement.After surgery 13 cases were classified as “ good responder”patho-logically with more than 90%tumor cell necrosis(Ayala,s stage III_B ).The authors held that the measure was proved to be very effective and it pro-vided many advantages for limb salvage surgery.

【关键词】 骨肿瘤骨肉瘤化疗高温隔离灌注
  • 【文献出处】 中华骨科杂志 ,CHINESE JOURNAL OF ORTHOPAEDICS , 编辑部邮箱 ,1994年11期
  • 【分类号】R738.105
  • 【被引频次】33
  • 【下载频次】59
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