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股骨病变切除人工全股骨置换(附6例报告)

Total Femoral Prosthesis Replacement inManagement of Aggressive Bone Diseases

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【作者】 吴捷张清徐万鹏乐守玉牛晓辉杨荣利

【Author】 /Wu Jie; Zhang Qing; Xu Wanpeng; et al. (De-partment of Orthopaedic Oncology Beijing Ji ShuiTan Hospital ,Beijing 100035)

【机构】 北京积水潭医院骨肿瘤科

【摘要】 从1982年10月~1993年6月应用人工全股骨置换治疗股骨病变6例,2男4女。年龄平均为34.5岁。病变范围均超过股骨全长的2/3,其中3例为反复病理骨折的纤维异样增殖症,1例原发非何杰金氏淋巴瘤合并病理骨折,2例为孤立骨转移癌,术后髋膝关节功能均良好。作者提出该手术对于侵及全股骨、反复病理骨折或有病理骨折倾向,其他治疗方法有困难的良性病变、有保肢指征的节段性切除难以根治的原发恶性骨肿瘤及孤立骨转移癌的患者,不失为一种较好的治疗方法。

【Abstract】 AbstractSix cases with aggressive bone diseases weretreated by total femoral prosthesis replacement inour hospital since Oct.1982 to June 1993. Meanage was 34.5 years,female 4 and male 2.Morethan 2/3 femur was infiltrated by lesion in all ofsix cases. Three cases with repeated pathologicfracture due to fibrous dysplasia,one case withNon-Hodgkin disease and pathologic fracture,twocases with solitary bone metastatic cancer. All pa-tients had good function of hip and knee joint post-operatively. The author recommended that totalfemoral prosthesis replacement is a comparetivelygood procedure in management of extensive ag-gressive bone disease of femur with repeatedpathologic fracture or primary and secondary ma-lignant lesion with indication of limb salvage.

【关键词】 股骨病变人工全股骨置换
  • 【文献出处】 中华骨科杂志 ,CHINESE JOURNAL OF ORTHOPAEDICS , 编辑部邮箱 ,1995年01期
  • 【分类号】R687.3
  • 【被引频次】11
  • 【下载频次】140
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