肩胛部恶性肿瘤保肢治疗

Limb salvage strategies for bone tumors around the shoulder

目的探讨肩部骨肿瘤保肢治疗的手术方法。方法对2例肩部恶性肿瘤实施保肢术,肱骨近端成骨肉瘤1例,行肱骨瘤段切除,锁骨翻转重建骨缺损,肩胛骨恶性纤维组织细胞瘤1例,行肿瘤切除、肱骨肩峰悬吊术。结果术后短期随访,肩关节被动活动有一定的功能。结论肩部恶性肿瘤应根据肿瘤发生的不同部位,患者的经济实力,选择不同保肢手术,目的是使肩部保留一定的功能和外形,提高患者生活的质量。

Objective To investigate the limb salvage strategies in bone tumors resection around the shoulder. Methods 2 patient underwent limb salvage procedures for treatment of bone tumors around the shoulders. One cases was proximal humerus osteogenicsarcoma, which was performed the tumorbearing bone resection and reconstruction with turnover the clavicle. The other cases was malignant fibrous histiocytoma of scaplula , which was performed the tumor resection and the acromial of humerus slinging Results 2 cases were followed up for a short time. The pain of the shoulder was disappeared. And the shoulder joint reserved certain function when it did some passive activity. Conclusion According to the different location of the bone tumors around shoulder, the grade of the malignant tumor, the different limbsalvage procedure were performed and could reserve the function, the outline of the shoulder and improving the quality of patient′s life.