同时修复肢体恶性肿瘤切除后的组织缺损

CLINICAL APPLICATION OF FREE SKIN FLAP TO REPAIR THE MALIGNANCY TISSUE DEFECT IN THE SAME TIME

目的尽最大努力在肿瘤切除的同时修复缺损组织、保全功能、降低肿瘤的局部复发和转移率,提高患者的生存质量。方法对55例体表恶性肿瘤术前选择性进行放、化疗,手术扩大根治性切除肿瘤,组织瓣移植,假体植入修复组织缺损及功能重建治疗并随访5年。结果术后缺损组织完全修复,大部分患者恢复了劳动力或生活能完全自理,5年生存率达92.2%,优良率达69.0%。结论该方法对体表恶性肿瘤切除的组织缺损修复及功能重建是可行的,明显提高了患者的生存质量。

Objective To do the best to resect the malignancy and repair the defect tissue in the same time, ensuring the recovery of the function, reducing the malignancy local recrudescence and improving the survival quality of the patients. Methods 55 patients were treated with radiotherapy, chemotherapy, operation to resect malignancy, tissue flap transplantation, sham body embedding - fastness mode and followed up for 5 years. Results Defect tissue were repaired completely, a majority of the patients renewed work force, or live with self - help, 5 years survival rate was 92.2% , and fine rate was 69. 0% . Conclusion This mode is feasible for repairing the tissue defect and function reconstruction, improving the survival quality.