保留部分肩袖功能的肩胛骨巨大肿瘤切除及重建术

目的：应用保留部分肩袖功能的方法切除肩胛骨巨大肿瘤，并通过植骨等方法重建之，观察和分析其治疗效果。方法：本组3例肩胛骨巨大肿瘤，由于冈上肌等部分肩袖和肩胛骨未受侵犯，行肿瘤边缘切除术的同时保留了冈上肌等部分肩袖，根据肩胛骨病损形状采取取髂骨植骨或者瘤骨灭活回植钢板固定重建肩胛骨结构。通过随访观察肩关节功能恢复等疗效。结果：3例切口一期愈合，随访1～3年，肿瘤未见复发。肩关节功能除外展稍受限外基本正常，恢复良好生活和工作能力。结论：保留部分肩袖功能和重建肩胛骨结构对于肩胛骨巨大肿瘤切除术病人术后肩关节功能恢复非常重要。

Huge tumor resection and reconstruction of scapula with partial rotator cuff reserved

Objective:To resect huge tumor of scapula with partial rotator cuff reserved and reconstruct the function of it,the outcome was observed and analyzed.Method:While the margin resections were done for 3 cases of huge tumor of scapula with just partial rotator cuff and bone survived,partial rotator cuff such as supraspinous muscle were reserved and skeletal structure were reconstructed with iliac graft or deactivated tumor bone fixed with reconstructive plates.Recovery of shoulder joint function was observed by clinical follow-up.Result:All 3 cases got excellent incision healing,no tumor reoccured during the 1~3 years follow-up,and the function of shoulder joint was almostly normal except a little abduction limitation.Conclusion:Both reserving partial rotator cuff function and reconstructing scapula structure are very important for the shoulder joint function recovery for cases with huge tumor of scapula after tumor resection.