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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