后肢截肢手术技术。19例报告。

The surgical technique for hindquarter amputation. A report of 19 cases.

作者信息

Wu K K, Guise E R, Frost H M, Mitchell C L

出版信息

Acta Orthop Scand. 1977;48(5):479-86. doi: 10.3109/17453677708989735.

Abstract

The surgical technique for hindquarter amputation is described in a step-by-step manner. Since 1955 we have performed 19 such operations for eradication of malignant bone and soft tissue tumors in the pelvic, hip and upper thigh regions. Three hindquarter amputations were performed for local recurrence following initial wide excision. The overall 5-year survival rate for our 19 patients was 42.1 per cent. Malignant soft tissue tumors appear to have a much better 5-year survival rate than malignant bone tumors (60 per cent vs. 22.2 percent). We feel that surgery is still the treatment of choice. However, in the presence of proper indications, chemotherapy and radiotherapy should be added to surgery in order to prolong survival time and save lives.

摘要

本文将逐步描述后肢截肢的手术技术。自1955年以来，我们已进行了19例此类手术，以根除骨盆、髋部和大腿上部区域的恶性骨和软组织肿瘤。其中3例后肢截肢手术是针对初次广泛切除术后的局部复发。我们这19例患者的总体5年生存率为42.1%。恶性软组织肿瘤的5年生存率似乎比恶性骨肿瘤要好得多（60%对22.2%）。我们认为手术仍然是首选的治疗方法。然而，在有适当指征的情况下，应在手术基础上增加化疗和放疗，以延长生存时间并挽救生命。