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影响国产肿瘤型膝关节假体临床疗效的因素分析 被引量:2

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摘要 目的探讨影响肿瘤型膝关节假体临床疗效及其影响因素。方法回顾性分析45例行国产肿瘤型膝关节假体置换的恶性骨肿瘤患者的假体预后及功能评分。对患者的生存率、假体的生存率与病变部位、性别、年龄、截骨长度、病理性骨折、假体类型等因素的相关性进行统计学分析;分析不同部位、不同假体类型以及手术次数与肢体功能评分之间的关系。结果平均随访时间64.9个月(4~156个月),30例患者无瘤生存,15例患者死亡。8例患者发生假体相关并发症,其中7例行翻修手术,1例截肢。无瘤生存患者国产肿瘤型膝关节假体的1年生存率为96.67%,5年生存率为86.40%,10年生存率为62.7%。生存患者膝关节周围肿瘤型假体的平均评分为20.23分(7~27分),优良率为76.7%。肿瘤假体置换术后的肢体功能与病变部位、假体的类型有关;与是否行翻修手术无相关性。结论采用国产肿瘤型膝关节假体对膝关节周围恶性骨肿瘤进行治疗,可以获得满意的肢体功能和理想的假体生存率。
出处 《广东医学》 CAS CSCD 北大核心 2009年第9期1342-1344,共3页 Guangdong Medical Journal
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参考文献13

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