Selection of Operation Treatment Method and Prognostic Analysis of Osteosarcoma of Limbs. (English)
In: Journal of Kunming Medical University / Kunming Yike Daxue Xuebao, Jg. 36 (2015-06-01), Heft 6, S. 46-50
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Zugriff:
Objective The study aimed to investigate the clinical efficacy and prognosis of different surgical methods for patients with osteosarcoma in limbs. Methods A retrospective analysis was made on clinical data of 68 patients with osteosarcoma underwent surgery in the Third Affiliated Hospital of Kunming Medical University and Kunming General Hospital of Chengdu Military Area Command of Chinese PLA from May 2010 to October 2012. According to the operation methods, patients were divided into: amputation group 20 cases, tumor bone shell inactivated bone replantation group 12 cases, massive bone allograft group 10 cases and tumor segmental resection and prosthetic replacement group 26 cases. The local recurrence rates, pulmonary metastatic rates and long-term survival rates of four groups were observed and analyzed statistically after operation. Results The local recurrence rate of amputation for osteosarcoma in limbs was lower than that of the tumor bone shell inactivated bone replantation, allografts bone joint transplantation and tumor section removal and artificial joint prosthetic replacement (P < 0.05), but there were no significant differences in the long-term survival rate and lung metastasis rate among four kinds of surgical methods (P>0.05). Conclusion Amputation is a disabling operation mode, so most patients are unable to accept. The surgical methods of tumor bone shell inactivated bone replantation, allografts bone joint transplantation and tumor section removal and artificial joint prosthetic replacement are conducive to the preservation of limb function, but the choice of surgical method should be based on the comprehensive analysis of individual patient to choose the operation scheme optimization. It is very important to reduce the operation complications and the incidence rate of operation and improve the surgical quality and the patient's postoperative quality of life. [ABSTRACT FROM AUTHOR]
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Selection of Operation Treatment Method and Prognostic Analysis of Osteosarcoma of Limbs. (English)
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Autor/in / Beteiligte Person: | Xue-feng, LIU ; Zuo-zhang, YANG ; Yi, LI ; Ya, ZHANG ; Jing, ZHANG ; Shao-yun, WANG ; Yi-hao, YANG ; Zhao-xin, ZHANG |
Zeitschrift: | Journal of Kunming Medical University / Kunming Yike Daxue Xuebao, Jg. 36 (2015-06-01), Heft 6, S. 46-50 |
Veröffentlichung: | 2015 |
Medientyp: | academicJournal |
ISSN: | 2095-610X (print) |
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