骨盆肿瘤切除及骨盆和髋关节功能重建的疗效分析

Analysis of results of pelvic and hip joint reconstruction after wide resection of pelvic tumors

目的 探讨对骨盆肿瘤病人,在肿瘤切除、重建骨盆和髋关节功能同时又能提高病人生存率和生活质量的可行性。方法 对21例病人分别施行“骨盆肿瘤切除同种异体半骨盆置换术(5例)”和“骨盆肿瘤切除可调式人工半骨盆置换术(16例)”。结果 手术全部成功,无手术死亡;长期随访(1.5-14年)表明病人生存率明显提高,功能较满意(良好率55％)。结论 骨盆肿瘤切除及骨盆和髋关节功能重建术是临床治疗骨盆巨大肿瘤的较好方法,既完整切除肿瘤,又重建了骨盆和髋关节,保证了功能。

Objective The Patients with pelvic tumors were treated with tumor resection, pelvic and hip joint reconstruction for the improvement of their life quality. Methods 5 cases of pelvic tumor were treated with wide resection and hemi-pelvic allografting, and 16 cases with resection of pelvic tumors and artificial hemi-pelvic replacement. Results These 21 cases were all successfully operated upon without operative mortality. The results of long term following-up (1.5-14 years) showed that the increased and satisfactory functional recovery. Conclusion Pelvic and hip joint reconstruction after wide resection of pelvic tumors is the method of choice for the treatment of giant tumors of the pelvis. The procedure completes the resection of pelvic tumors, as well as reconstruction of the pelvis and the hip joint with satisfactory function.