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骨质肉瘤和尤文肉瘤的当代手术治疗

Alexandra K Callan¹, John H Alexander², Nicole I Montgomery³

¹Department of Orthopaedics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Pediatric blood & cancer

|October 16, 2024

概括

恶性骨瘤的治疗包括手术,化疗和康复. 肢体救援手术通常是可能的,先进的技术可以改善骨肉瘤患者的结果.

科学领域:

整形外科整形外科整形外科
手术瘤学手术瘤学
生物医学工程生物医学工程

背景情况:

恶性骨瘤发生在北美每百万人中稳定率为8-9个.
最佳的护理需要一个多学科的方法,整合手术,化疗和康复.
手术目标包括实现骨肉瘤的负边缘切除.

研究的目的:

审查目前对恶性骨瘤的手术治疗策略.
突出肢体救援手术 (LSS) 和重建选择的作用.
讨论新兴技术对LSS的影响.

主要方法:

对恶性骨瘤切除手术技术的审查.
对重建方法的分析:内脏假体,异体移植,自体移植.
评估先进技术,如3D打印和手术内导航.

主要成果:

在大多数情况下,肢体救援手术 (LSS) 是可行的.
截肢或旋转整形可能是必要的替代方案.
有各种各样的重建选择,包括假肢和骨头移植.
3D打印和导航增强了LSS的可能性.

结论:

多学科护理对于恶性骨瘤至关重要.
肢体救援手术是主要目标,有各种可用的重建方法.
新兴技术正在扩大LSS的选择并改善LSS的结果.

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