国产人工半骨盆假体置换治疗髋臼周围骨肿瘤

背景：髋臼周围骨肿瘤的治疗对骨科医生来说是一种挑战，但随着诊断技术的提高、新辅助化疗方案的应用以及肿瘤切除原则的确立，保肢手术成为一种趋势。 目的：分析应用国产人工半骨盆假体治疗髋臼周围骨肿瘤的效果。 方法：2001/2010共收治19例髋臼周围骨肿瘤病人，其中6例行国产半骨盆人工假体置换，术后随访6~72个月(平均50个月)。 结果与结论：按Enneking方法评估疗效，良4例，一般2例。提示只要严格掌握骨盆肿瘤切除重建的手术适应证，应用国产人工半骨盆假体治疗髋臼周围骨肿瘤具有较好的疗效。 关键词：髋臼；骨肿瘤；假体；人工半骨盆假体；疗效 doi:10.3969/j.issn.1673-8225.2012.13.042

The treatment of bone tumour around the acetabulum by semi-pelvic prosthesis made in China

BACKGROUND: The treatment of bone tumour around the acetabulum is a challenge of orthopedics, but the limb-sparing surgeries of bone tumour around the acetabulum become the main trend along with the development of the diagnosis techniques and the application of neoadjuvant chemotherapy and the establishment of the tumour excision principle. OBJECTIVE: To analyze the treatment effect semi-pelvic prosthesis made in China on bone tumour around the acetabulum. METHODS: From 2001 to 2010, 19 patients with bone tumour around the acetabulum were enrolled and six patients were cured by removing the tumour and assembling the semi-pelvic prosthesis made in China. All the patients were followed-up for 6-72 months (mean 50 months). RESULTS AND CONCLUSION: According to Enneking criteria, four cases were rated as good, two cases as fair. There was a good effect of semi-pelvic prosthesis made in China on the treatment of bone tumour around the acetabulum when the indications of resection and reconstruction of pelvic tumour were selected strictly.