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[1]易春智,藍(lán)鋆,李若愚,等.冷凍消融術(shù)在骨與軟組織腫瘤治療中的應(yīng)用[J].中醫(yī)正骨,2017,29(09):57-60,63.
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冷凍消融術(shù)在骨與軟組織腫瘤治療中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年09期
頁(yè)碼:
57-60,63
欄目:
綜 述
出版日期:
2017-09-20

文章信息/Info

作者:
易春智1藍(lán)鋆2李若愚1關(guān)天安1方斌1
1.廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院,廣東 廣州 510405; 2.廣州中醫(yī)藥大學(xué)附屬骨傷科醫(yī)院,廣東 廣州 510240
關(guān)鍵詞:
骨腫瘤 軟組織腫瘤 冷凍外科手術(shù)
摘要:
目的:探討冷凍消融術(shù)在骨與軟組織腫瘤治療中的應(yīng)用價(jià)值。方法:2012年12月至2015年10月,在12例骨與軟組織腫瘤患者的治療中應(yīng)用了冷凍消融術(shù)。男6例,女6例; 年齡13~73歲,中位數(shù)51歲。骨轉(zhuǎn)移瘤4例,CT引導(dǎo)下行冷凍消融術(shù)。原發(fā)腫瘤8例,顯露腫瘤病灶,冷凍消融后,良性腫瘤者,刮除腫瘤,骨水泥填塞瘤腔; 惡性腫瘤者,廣泛切除腫瘤,根據(jù)骨質(zhì)破壞情況進(jìn)行骨水泥填塞、人工假體置換等相應(yīng)處理。隨訪觀察腫瘤復(fù)發(fā)、肢體功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:本組12例患者均獲隨訪,隨訪時(shí)間3~28個(gè)月,中位數(shù)18.5個(gè)月。右股骨近端胰腺低分化腺癌骨轉(zhuǎn)移1例,術(shù)后3個(gè)月因腫瘤復(fù)發(fā)死亡; 右肱骨上段神經(jīng)鞘瘤1例,術(shù)后6個(gè)月腫瘤復(fù)發(fā),再次病理診斷為透明細(xì)胞肉瘤,廣泛切除腫瘤后行人工肩關(guān)節(jié)置換術(shù),術(shù)后肩關(guān)節(jié)功能恢復(fù); 其余10例患者隨訪期內(nèi)未見(jiàn)腫瘤復(fù)發(fā),肢體功能恢復(fù)良好。均無(wú)神經(jīng)、血管損傷等并發(fā)癥發(fā)生。結(jié)論:在骨與軟組織腫瘤的治療中應(yīng)用冷凍消融術(shù),有利于控制腫瘤復(fù)發(fā),恢復(fù)肢體功能,且安全性高。

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更新日期/Last Update: 2018-02-23