恶性肿瘤的现代治疗方法

R. Kotz
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引用次数: 0

摘要

早在本世纪初,外科医生就尝试在发现恶性骨或软组织肿瘤时避免截肢。其中一个与F. Sauerbruch的成形术有关:在切除股骨后,胫骨向上移动并放置在肌肉皮肤床上,产生适合假肢的残端。Tikhov和Linberg对肩胛骨和肱骨近端进行了广泛切除,保留了“拉长”且不稳定但可活动的上肢。通过植入肿瘤假体来保持下肢的稳定性似乎是最合理的。第一例这种类型的手术是在20世纪30年代末由a . Moore为股骨近端巨大锁骨肿瘤进行的。50年代末60年代初,随着髋关节置换术的发展,为肿瘤患者开发和植入专用假体的趋势也愈演愈烈。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Modern methods of treatment of malignant tumors
Attempts to avoid limb amputation upon detection of a malignant bone or soft tissue tumor were made by surgeons as early as the beginning of our century. One of them was related to plasty according to F. Sauerbruch: after resection of the femur, the tibia was moved upwards and placed in the musculocutaneous bed, resulting in a stump suitable for prosthetics. Tikhov and Linberg performed an extensive resection of the scapula and the proximal end of the humerus, preserving an "elongated" and unstable, but mobile upper extremity. Preservation of stability of the lower extremity by implanting tumor prostheses seemed to be the most reasonable. The first operation of this type was performed in the late 1930s by A. Moore for a gigantoclavicular tumor of the proximal femur. In the late 50s and early 60s, with the development of hip arthroplasty, the tendency to develop and implant special prostheses for patients with tumor diseases also intensified.
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