27例骨盆软骨肉瘤患者随访分析

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1、万方数据山东大学硕士学位论文pelvicchondrosarcomabecauseofthedevelopmentofimagingtechnologyaswellasthedeepenunderstandingofchondrosarcoma．Mostchondrosarcomapatientswanttokeepthefunctionoflimbsunderthepremiseofsafetyedge．Withthepelvictumorlimbsalvageoperationhasbecomepopular,wemustconsidertheinte

2、grityandstabilityofthepelvicringreconstructioninordertokeepthefunctionoflimbs．Accordingtothedifferentlocationsandextentsofbonedefectaftertumorresection，themethodsofreconstructionarenotsame．Overall，pelvicreconstructionsurgeryisverydifficultandmayhavemanypostoperativecomplications，S

3、Oit'sstillachallengingtaskfororthopedicsdoctors．objectiveExplorethelimbfunctionalstatusinpostoperativepatientswithpelvicchondrosarcomaandthepostoperativecomplications．Investigatethefactorsinfluencingtheprognosisofpelvicchondrosarcomapatients．MethodsLargemountsofcompleteclinicalinf

4、ormationwerefromMarch2004toDecember2014atQiluHospitalofShandongUniversity．Allthe27casesofpatientswimthediagnosisofpelvischondrosarcomahavebeenpathologicallyconfirmed．Thefollow．uptimeWas6·120months．andthemearlfollow-uptimeWas29．3months．Amongthe27cases，19casesofthemcametoourcenterin

5、theirfirsttime，while8caseshadarelapseafteroperationinotherhospitals．Therewere12malesand15females．TheageofthefirsttimetoQiluhospitalofShandongUniversityis20—68yearsold，themeanageis47．67yearsold．Thetumorof4caseswerelocatedinarea,3caseswerelocatedinI+IVarea，2caseswerelocatedinI+IIare

6、a，1caseswaslocatedinI+II+IVarea，8caseswerelocatedinI+II+IIIarea，1casewaslocatedinI+II+III+Ⅳarea，5caseswerelocatedinII+IIIarea，3caseswerelocatedinIIIarea．AccordingtohistologicalgradeofONealandAckerman，15casesweregradeI，7casesweregradeII，5casesweregradeIII．Twocaseswerededifferentiat

7、edS万方数据山东大学硕士学位论文chondrosarcomaingradeIII．AccordingtoEnnekingSurgicalStagingSystem，12caseswereIBstage，10caseswereIIBstage，5caseswereIIIBstage．Accordingtopathologicaltype，15caseswereConventionalchondrosarcoma,1casewasmesenchymalchondrosarcoma，1caseWasclear-cellchondrosarcoma，2cases

8、werededifferentiatedchondrosarcom