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恶性肿瘤致股骨近端病理性骨折的手术治疗
引用本文:陈元庄,张敏,黄远翘. 恶性肿瘤致股骨近端病理性骨折的手术治疗[J]. 岭南现代临床外科, 2004, 4(3): 222-223
作者姓名:陈元庄  张敏  黄远翘
作者单位:广东省江门市中心医院骨科,529070;广东省江门市中心医院骨科,529070;广东省江门市中心医院骨科,529070
摘    要:目的:探讨恶性肿瘤致股骨近端病理性骨折手术治疗的方法。方法:对1997.8~2003.6期间16例股骨近端病理性骨折患者的手术治疗进行回顾性分析。结果:除一例术后死于急性呼吸窘迫综合症外,余15例无手术并发症,术后疼痛明显缓解,伤口愈合良好,均存活在3个月以上,12例术后继续原发肿瘤的治疗。结论:恶性肿瘤致股骨近端的病理性骨折可积极手术治疗。采用带锁髓内钉或人工股骨头置换加骨水泥固定可取得较好的效果。

关 键 词:股骨  骨折  恶性肿瘤  病理的  手术
文章编号:1009-976X(2004)03-0222-02
修稿时间:2004-04-08

The operative treatment of pathological fractures of proximal femur caused by malignant tumors
CHEN Yuan-zhuang,ZHANG Min,HUANG Yuan-qiao. The operative treatment of pathological fractures of proximal femur caused by malignant tumors[J]. Lingnan Modern Clinics in Surgery, 2004, 4(3): 222-223
Authors:CHEN Yuan-zhuang  ZHANG Min  HUANG Yuan-qiao
Affiliation:CHEN Yuan-zhuang,ZHANG Min,HUANG Yuan-qiao. Department of Orthopaedics,Jiangmen Central Hospital,Jiangmen Guangdong 529070
Abstract:Objective To explore the operative treatment of pathological fractures of proximal femur caused by malignant tumor. Methods 16 patients treated by operation were analyzed retrospectively from August 1997 to June 2003. Results Except for one patient died of ARDS after operation, there were no operative complications in the other 15 cases who survived more than three months. The pain was relieved remarkly and the wound healing was well after operation. Conclusion The pathological fractures of proximal femur caused by malignant tumor can treated actively by operation.With the bone cement fixation of the interlocking nail or artificial femoral head,a good effect can be obtained.
Keywords:Femur  Fractures  Malignant tumors  Pathological  Operation
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