Huth J F, Eckardt J J, Pignatti G, Eilber F R
Division of Surgical Oncology, UCLA School of Medicine.
Arch Surg. 1988 Sep;123(9):1121-4. doi: 10.1001/archsurg.1988.01400330097015.
Fifty-three patients with malignant tumors of the pelvis ossea were evaluated for location of tumor, extent of resection, postoperative function, local recurrence, and survival. Three tumors were unresectable, 17 required a wide local excision, 27 required resection of the hemipelvis without extremity amputation (internal hemipelvectomy), and six required a classical hemipelvectomy with amputation. The incidence of local recurrence was 11.8% for wide local excision, 7.4% for internal hemipelvectomy, and 33% for classical hemipelvectomy. Survival following wide local excision or internal hemipelvectomy was 58% and 41%, respectively, at five years compared with 17% for patients undergoing classical hemipelvectomy. Patients who underwent wide local excision had good to excellent functional results. Patients requiring internal hemipelvectomy initially required ambulatory supports, but many can now ambulate independently, with a neurologically intact extremity, despite a noticeably abnormal gait.
对53例骨盆恶性肿瘤患者进行了肿瘤位置、切除范围、术后功能、局部复发和生存率的评估。3例肿瘤无法切除，17例需要广泛局部切除，27例需要切除半骨盆而不进行肢体截肢（内侧半骨盆切除术），6例需要进行经典的半骨盆截肢术。广泛局部切除的局部复发率为11.8%，内侧半骨盆切除术为7.4%，经典半骨盆截肢术为33%。广泛局部切除或内侧半骨盆切除术后五年生存率分别为58%和41%，而接受经典半骨盆截肢术的患者为17%。接受广泛局部切除的患者功能结果良好至优秀。需要内侧半骨盆切除术的患者最初需要行走辅助，但现在许多患者尽管步态明显异常，但仍能在神经功能完好的肢体辅助下独立行走。
