软骨肉瘤的诊断治疗与预后分析临床医学.docVIP

软骨肉瘤的诊断治疗与预后分析临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：软骨肉瘤的诊断治疗与预后分析临床医学 1 1 资料与方法 2 2 结果 3 3 讨论 4 文2：重症急性胰腺炎的治疗与预后分析临床医学 6 1 资料和方法 7 2 结果 8 3 讨论 10 参考文摘引言： 11 原创性声明（模板） 13 文章致谢（模板） 13 正文 软骨肉瘤的诊断治疗与预后分析临床医学 文1：软骨肉瘤的诊断治疗与预后分析临床医学 [Abstract] Objective To discuss the diagnoses，therapy of chondrosarcoma and the factor that effect on prognosis by analysing clinical By reviewing and analyzing the 26 patients with chondrosarcoma which were diagnosed by pathology in the fit affiliated hospital of Guangxi medical univeity from September 2003 to January All the cases were followed up，whose coue were from 6 months to 5 yea，and yea in the cases were with operation.(1)14 cases in Grade Ⅰ，of which 6 cases were treated with curettage，cauterized with iodine and filled with bone cement，and no case which 8 cases were treated with curettage and cauterized with iodine，as a result，1 case relapsed;(2)6 cases in Grade Ⅱ，1 of 6 cases was resected diffusely，filled with bone cement and reedified by fixer，none of 6 cases，whose focus were resected diffusely，and function were reedified，2 cases relapsed;1 of 6 was treated with curettage，cauterized with iodine and filled with bone cement，and no case relapsed;(3)2 cases in Grade Ⅲ，1 case was cut-off;1 case was treated with being resected diffusely，and reedifing function，1 case The prognosis of chondrosarcoma is clearly connectted with the malignant degree，and if focus was eliminated entirely. [Key words] chondrosarcoma;diagnoses;therapy;prognosis 软骨肉瘤在骨的恶性肿瘤中较常见，发病率仅次于骨肉瘤，占骨肿瘤总数的%，占恶性骨肿瘤的15%。主要发生在四肢、骨盆，而发生在脊柱的软骨肉瘤较少见，脊柱中以胸椎发病率最高[1]。现将广西医科大学一附院2003年9月至2009年1月经病理确诊的26例软骨肉瘤病例报告如下。 1 资料与方法 一般资料 本组患者共26例，男16例，女10例。年龄最小14岁，最大58岁，平均32岁，所有病例均根据临床表现及X线，CT初步诊断并获病理确诊。按Oneal和Ackerman组织学分级:低度恶性14例，其中肩胛骨2例，髂骨6例，股骨远端4例，肱骨近端1例，胫骨近端1例;中度恶性6例，其中骨盆3例，肩胛骨1例，胸椎1例，股骨远端1例;高度恶性2例，其中髂骨1例，股骨远端1例。临床表现:所有病例均为缓慢起病，24例出现局部间歇性疼痛，缓慢加重，8例逐渐形成局部包块，2例无明显疼痛，为外伤后拍片诊断。 治疗方法 因考虑到软骨肉瘤对放疗和化疗治疗效果差，所有病例均采取手术治疗。(1)低度恶性：对于6例发生于四肢长管状的低度恶性软骨肉瘤及我们采用