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目的评价转移癌性病理骨折一期功能重建方法的效果及其意义。方法应用瘤段切除加人工假体置换、瘤段切除骨外固定器固定或加肢体延长、肿瘤刮除或局部切除后髓内针或钢板加骨水泥内固定等方法重建２２例病理骨折。结果２２例一期功能重建，术后上、下肢功能恢复。疼痛消失２０例，疼痛减轻２例。患者精神状态、心理状态和食欲均明显改善。随访１９例，存活时间为３～３６个月，平均２２４个月。结论此方法治疗转移癌性病理骨折能恢复患肢功能，消除痛苦，提高患者生存质量。
Objective To evaluate the efficacy and significance of the first-stage functional reconstruction of metastatic cancer pathological fractures. Methods Twenty-two cases of pathological fractures were reconstructed by tumor resection and artificial prosthesis replacement, tumor segment resection by external fixators or prolongation of limbs, resection of tumors or partial resection of intramedullary nails or steel plates plus bone cement fixation. Results One-stage functional reconstruction was performed in 22 cases and the upper and lower extremities recovered after surgery. Pain disappeared in 20 cases and pain reduced in 2 cases. The patient’s mental status, mental status and appetite improved significantly. Nineteen patients were followed up, and the survival time was 3 to 36 months, with an average of 22 to 4 months. Conclusion This method can treat metastatic cancerous pathological fractures and restore limb function, eliminate pain, and improve the quality of life of patients.