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目的探讨人工肱骨头置换治疗肱骨近端骨肿瘤的疗效。方法 12例患者均为单侧病损,瘤段切除后均使用定制的非限制性人工肱骨头假体置换,柄用骨水泥肱骨残端髓腔内固定。结果术后肩关节功能按国际保肢学会(ISOLS)的评估标准评分,优6例,良4例,可1例,差1例,优良率为83.3%,术后未出现明显假体松动、脱位等并发症。结论人工肱骨头置换治疗肱骨近端骨肿瘤是保全肢体、提高患者生存质量的一种有效的手术方法。
Objective To investigate the curative effect of artificial humeral head replacement on proximal humerus bone tumor. Methods Twelve patients were all unilateral lesions. The resection was performed with a custom non-limiting artificial humeral head prosthesis, and the handle was fixed with the medullary cavity of humerus of the bone cement. Results The postoperative function of shoulder was graded according to ISOLS evaluation criteria. The results were excellent in 6 cases, good in 4 cases, fair in 1 case and poor in 1 case. The excellent and good rate was 83.3% Dislocation and other complications. Conclusion The artificial humeral head replacement for the treatment of proximal humeral bone tumor is an effective surgical method to preserve the limbs and improve the quality of life of patients.