肢体挽救性手术中骨与软组织肿瘤的大血管和神经处理。
Management of great vessels and nerves in limb-salvage surgery for bone and soft tissue tumors.
机构信息
Department of Spine Surgery, Weifang People's Hospital, Weifang City, Shandong Province, China.
出版信息
Orthop Surg. 2013 Nov;5(4):233-8. doi: 10.1111/os.12066.
Abstract
In recent years, limb-salvage surgery has gradually replaced amputations and become one of the main treatment strategies for patients with bone and soft tissue tumors of the extremities. The goals of tumor resection in limb-salvage surgery are to reduce the recurrence rate and preserve as much limb function as possible. However, depending on the size and specific location of the tumor, large neurovascular bundles may be involved. In addition, management of large nerves and vessels can make wide marginal resection more difficult. Sites where these problems commonly arise include the sciatic and tibial common peroneal nerve, artery and vein in the lower limbs.
摘要
近年来，保肢手术逐渐取代了截肢，成为四肢骨与软组织肿瘤患者的主要治疗策略之一。保肢手术中肿瘤切除的目标是降低复发率并尽可能保留肢体功能。然而，根据肿瘤的大小和特定位置，可能会涉及到大的神经血管束。此外，大神经和大血管的处理使得广泛的边缘切除术更加困难。这些问题常见的发生部位包括下肢的坐骨神经和胫前腓总神经、动脉和静脉。
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本文引用的文献
1
Application of artificial prosthesis reconstruction techniques in malignant tumors around the knee joint.
Orthop Surg. 2012 Feb;4(1):1-10. doi: 10.1111/j.1757-7861.2011.00161.x.
2
Long-term outcome of giant cell tumors of bone around the knee treated by en bloc resection of tumor and reconstruction with prosthesis.
Orthop Surg. 2010 Aug;2(3):211-7. doi: 10.1111/j.1757-7861.2010.00089.x.
3
Functional outcomes and complications of reconstruction of the proximal humerus after intra-articular tumor resection.
Orthop Surg. 2010 Feb;2(1):19-26. doi: 10.1111/j.1757-7861.2009.00058.x.
4
Marginal resection for osteosarcoma with effective preoperative chemotherapy.
Orthop Surg. 2009 Aug;1(3):196-202. doi: 10.1111/j.1757-7861.2009.00037.x.
5
Recurrence analysis in 66 cases with grade I and grade II chondrosarcomas in the extremities.
Orthop Surg. 2009 May;1(2):132-6. doi: 10.1111/j.1757-7861.2009.00020.x.
6
Oncovascular surgery.
Eur J Surg Oncol. 2011 Dec;37(12):1017-24. doi: 10.1016/j.ejso.2011.08.131. Epub 2011 Sep 13.
7
Clinical outcome of limb-salvage surgery after wide resection of sarcoma and femoral vessel reconstruction.
Ann Vasc Surg. 2011 Nov;25(8):1070-7. doi: 10.1016/j.avsg.2011.05.009. Epub 2011 Aug 10.
8
Use of a superficial femoral artery autograft as a femoral vein replacement during en bloc sarcoma resection.
Vasc Endovascular Surg. 2011 Oct;45(7):665-7. doi: 10.1177/1538574411407697. Epub 2011 Aug 5.
9
Epithelioid sarcoma of the tibial portion of the sciatic nerve.
Clin Neurol Neurosurg. 2011 Jul;113(6):506-8. doi: 10.1016/j.clineuro.2011.01.015. Epub 2011 Mar 2.
10
Vascular reconstruction in lower limb musculoskeletal tumours.
ANZ J Surg. 2009 Sep;79(9):619-23. doi: 10.1111/j.1445-2197.2009.05016.x.
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