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下肢恶性骨与软组织肿瘤保肢手术后的行走能力及日常生活活动能力

Walking ability and activities of daily living after limb salvage operations for malignant bone and soft-tissue tumors of the lower limbs.

作者信息

Sugiura H, Katagiri H, Yonekawa M, Sato K, Yamamura S, Iwata H

机构信息

Orthopaedic Department, Nagoya University School of Medicine, Tsurumai 65, Showaku, Nagoya 466-8550, Japan.

出版信息

Arch Orthop Trauma Surg. 2001;121(3):131-4. doi: 10.1007/s004020000192.

DOI:10.1007/s004020000192
PMID:11262776
Abstract

We evaluated the number of steps, activities of daily life (ADL) score, Enneking score, active range of motion and muscle strength by muscle manual testing for function in lower limbs after reconstructive procedures in surgical treatment of tumors. The 56 patients with 20 malignant bone tumors and 36 malignant soft-tissue tumors averaged 7119 +/- 3563 steps per day, or 69.8% of the control group. The average ADL score of patients was 14.0 +/- 4.1 points (70.0%), and the average Enneking score 20.4 +/- 6.0 points (68.0%). The scores of the bone tumor group were lower than those of the soft-tissue tumor group. These scores were not correlated with the range of motion. The number of steps and ADL score were correlated with Enneking score (coefficient 0.52 and 0.84, respectively). The number of steps and the ADL score appear to be useful, as is Enneking score.

摘要

我们通过肌肉手法测试评估了肿瘤外科治疗重建手术后下肢功能的步数、日常生活活动(ADL)评分、Enneking评分、主动活动范围和肌肉力量。56例患者,其中20例为恶性骨肿瘤,36例为恶性软组织肿瘤,平均每天步数为7119±3563步,为对照组的69.8%。患者的平均ADL评分为14.0±4.1分(70.0%),平均Enneking评分为20.4±6.0分(68.0%)。骨肿瘤组的评分低于软组织肿瘤组。这些评分与活动范围无关。步数和ADL评分与Enneking评分相关(系数分别为0.52和0.84)。步数和ADL评分似乎很有用,Enneking评分也是如此。

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