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软组织肉瘤的外科治疗II. 四肢肉瘤及其手术切除

[Surgical therapy of soft tissue sarcomas II. Sarcomas of the extremities and their surgical resection].

作者信息

Karakousis C P

机构信息

Surgical Oncology Department, State University of New York at Buffalo, Roswell Park Cancer Institute, USA.

出版信息

Chirurg. 1995 Oct;66(10):1006-15.

PMID:8529442
Abstract

In the past, the rate of amputation for soft tissue sarcomas of the extremities was 40-50%. In recent years this rate has declined to about 50%. The improved rate of limb salvage with improved rates of local control, compared to those of the past, has been due to the development of surgical techniques allowing often satisfactory resection with limb preservation and to the use of adjuvant radiation in the presence of inadequate surgical margins. Below, the surgical techniques of limb preservation, as well as those or the major amputations are described.

摘要

过去,四肢软组织肉瘤的截肢率为40%-50%。近年来,这一比率已降至约50%。与过去相比,随着局部控制率的提高,肢体挽救率有所提高,这得益于手术技术的发展,这些技术常常能实现令人满意的保肢切除,以及在手术切缘不足时使用辅助放疗。以下将描述保肢手术技术以及主要截肢手术技术。

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