肩部骨肿瘤保肢治疗

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,提高患者的生活质量。

Limb salvage treatment for bone tumors around the shoulders

Objective To investigate the limb salvage strategy for bone tumor resection around the shoulder.Methods Two patients underwent limb salvage operation for treatment of bone tumors around the shoulders.One patient had proximal humerus osteogenic sarcoma,and was treated with the tumor-bearing bone resection and reconstruction with turnover of the clavicle.Another one had fibrohistiocytoma of scapula,and was treated with tumor resection and slinging of acromion of humerus.Results Both cases were followed up for a short time.The pain of the shoulder disappeared.The articulatio capitis humeri reserved certain function when it did some passive activity.Conclusions According to the different locations of the bone tumors around shoulders,the degree of the malignant tumor and the patient's economic condition,different limb-salvage operations can be performed in order to reserve the function of the joint,the external form of the shoulder and to improve the quality of patient's life.