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骨肉瘤患者的并发症和结果 肢体救援使用液处理的骨头进行重建
Muhammad Zoha Farooq1, Muhammad Bilal Shafiq1, Sajid Ali1
1Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.
Journal of cancer & allied specialties
|January 23, 2024
概括
用液处理的骨头移植用于肢体挽救手术显示出高并发症率,包括皮肤亡,感染和非结合. 其他可替代的重建方法,如血管化骨或内脏假体可能是最好的.
科学领域:
- 整形外科手术 整形外科手术
- 手术瘤学手术瘤学
- 生物材料科学 生物材料科学
背景情况:
- 骨肉瘤的肢体救援手术旨在保持功能.
- 已建立的重建方法包括巨型假肢和生物重建.
- 用液处理的骨头是一种替代性的生物重建材料.
研究的目的:
- 为了评估肢体救援手术的并发症和功能结果,使用液处理的骨头自移植.
- 评估这种重建技术的短期疗效.
主要方法:
- 对15名用液处理的骨头自移植器进行肢体救援的患者的回顾性分析.
- 使用液的冷方法,应用于全局切除后的局部切除.
- 卡普兰-梅尔方法用于移植存活分析.
主要成果:
- 观察到的并发症率很高:60%的皮肤亡/伤口破坏,26.7%的深层感染,26.7%的非联合.
- 平均随访时间为19.83个月.
- 40%的患者因感染或不结合而需要重新手术;20%的复发率.
结论:
- 用液处理的自移植重建与高并发症率有关.
- 血管化骨移植或内脏假体是建议的肢体救援手术的替代方案.
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