Custodio Christian M
Department of Neurology, Rehabilitation Medicine Service, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.
J Surg Oncol. 2007 Apr 1;95(5):393-9. doi: 10.1002/jso.20779.
The treatment of most extremity bone or soft tissue sarcomas involves either limb salvage surgery with adjuvant chemoradiation therapy or amputation. The rehabilitation of patients with extremity sarcomas is challenging, and the approach differs depending on the choice of surgical procedure as well as potential-associated medical complications. Early, interdisciplinary rehabilitation involvement is helpful in lessening the impact of expected impairments and disability. There is a lack of evidence examining specific rehabilitation interventions in this patient population. Functional outcomes and quality of life studies suggest overall similar findings between limb salvage patients and amputees, but with differences in various subscales. Rehabilitation interventions are therefore individualized; based on the assessment of medical limitations, functional goals and expectations, and modification of environmental factors. Overcoming medical and oncologic barriers to rehabilitation; as well as psychological, structural, cultural, political, and economic barriers; can serve to lessen the degree of disability.
大多数肢体骨肉瘤或软组织肉瘤的治疗方法包括保肢手术加辅助放化疗或截肢。肢体肉瘤患者的康复具有挑战性，康复方法因手术方式的选择以及潜在相关的医学并发症而异。早期的多学科康复介入有助于减轻预期损伤和残疾的影响。目前缺乏针对该患者群体具体康复干预措施的证据。功能结局和生活质量研究表明，保肢患者和截肢患者的总体研究结果相似，但在各个子量表上存在差异。因此，康复干预是个体化的；基于对医学限制、功能目标和期望的评估以及环境因素的调整。克服康复过程中的医学和肿瘤学障碍；以及心理、结构、文化、政治和经济障碍；有助于减轻残疾程度。
