Quill G, Gitelis S, Morton T, Piasecki P
Department of Orthopaedic Surgery, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.
Clin Orthop Relat Res. 1990 Nov(260):242-50.
A retrospective clinical review of 100 consecutive patients with extremity sarcomas managed by limb salvage operations was performed to evaluate local tumor control and morbidity. The mean follow-up period was 45.1 months. Overall survival was 86%. There were local recurrences in 3% of patients, and 26 complications in 22 patients. Wound necrosis was the most frequent complication. Failure of allogeneic bone graft operations occurred in 25 patients. Most of the complications were salvageable without loss of limb. Limb salvage is an acceptable surgical treatment of extremity sarcomas based on adequate local control and minimal morbidity.
对100例接受保肢手术治疗的肢体肉瘤患者进行了回顾性临床研究，以评估局部肿瘤控制情况和并发症发生率。平均随访时间为45.1个月。总生存率为86%。3%的患者出现局部复发，22例患者出现26种并发症。伤口坏死是最常见的并发症。25例患者异体骨移植手术失败。大多数并发症可以挽救，肢体不会丧失。基于充分的局部控制和最小的并发症发生率，保肢是肢体肉瘤可接受的手术治疗方法。
