四肢骨肉瘤保肢治疗指南.pdf

四肢骨肉瘤保肢治疗指南 中华医学会骨科学分会骨肿瘤学组 通信作者：林建华，Emaih jianhual@126．com；王臻，Emaihwangzhen@fmmu．edu．cn； 胡永成。Emaih 26．com yongchenghu@1 【摘要】骨肉瘤是最常见的骨原发性恶性骨肿瘤，好发于儿童和青少年，四肢为其主要发病部位。目前，保肢治疗被 认为是肢体骨肉瘤的标准治疗方法以及有效的基础治疗手段。我国幅员辽阔，但技术发展不平衡，需要理论涵盖充分、技 术指导性强且适用于骨肉瘤治疗领域的保肢治疗指南。因此，本指南从保肢治疗定义、手术方法、疗效评价、术后处理与 并发症防治、康复指导与随访建议等方面系统介绍四肢骨肉瘤保肢治疗方法，从而规范和推进保肢手术技术发展，提高保 肢治疗成功率。 DOI：10．37601cma．j．issn．0253-2352．2019．01．001 Guidelinesfor treatmentofosteosai∞ma limb-salvage ChineseMedicalAssociation Bone SocietyofOrthopedicsOncologyGroup author：Lin Jianhua,Emaik Corresponding drhsshu@jianhual@126．com；WangZhen,Entail：wangzhen@fmmu．edu．cn； Hu Yongcheng,Entail：yongchenghu@126．com which occursinchildrenandMoles- isthemostcommon bonetumor 【Abstract】Osteosarcoma malignant usually primary mainsiteofthedisease．At iSconsideredtobethestandardtreatment cents，andthelimbsa弛the present。limb．salvagetherapy andeffectivebasictreatmentforosteosarcoma．Duetovast andunbalanced of limb- territory developmentsurgicaltechnology．the theoreticalandtechnical needed．Therefore．this introduces guideline limb-salvage salvage guidelines玳badly systematically treatmentmethodsforosteosarcomafromthe of treatment evaluation。 aspectslimb．salvage deftnition。surgicalmethods，efficacy treatmentand of and astostandard· recommendations，SO postoperative preventioncomplications，rehabilitationguidancefollow-up izeand the of