改良肩胛带大块切除术治疗肩部恶性肿瘤

Modified En Bloc Resection Procedure for Malignant Tumor of the Shoulder Girdle

改良肩胛带大块切除术治疗肩部恶性肿瘤叶启彬，赵宏，沈建雄，李世英（中国医学科学院，中国协和医科大学，协和医院，北京１００７３０）肩关节恶性肿瘤的治疗，除经典的肩胛带截肢术、肩关节离断术和肩胛骨切除术外，还有一个可供选择的方法──经肩胛胸廓间和肱骨上段...

Abstract En bloc resection of the shoulder girdle (Tikhoff-Linberg procedure)is a valuable limbsparing surgical technique for bony and soft tissue malignant tumor in and around the proximal humerus and shoulder girdle. Significant amount of hand-elbow function is maintained with the procedure,and long time results in the treatment of neoplasms by this technique was found to be the same as by the method of a forequarter.amputation or the shoulder disarticulation in the English literature. Four cases with malignant tumor in the shoulder girdle was treated with this modified method in our department. The average follow-up was 8 years. One case died due to another kind of tumor 6 years after operation, and other 3 cases are alive and disease free.