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Clinical use of microwave-induced hyperthermia in the management of malignant or aggressive bone tumors of extremities
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- Author:
- No author available
- Journal Title:
- JOURNAL OF THE FOURTH MILITARY MEDICAL UNIVERSITY
- Issue:
- 12
- DOI:
- 10.3321/j.issn:1000-2790.1999.12.003
- Key Word:
- 微波;高温,诱发;四肢;骨肿瘤
Abstract： 目的:评价插入式微波天线阵列诱导高温原位灭活治疗肢体恶性或侵袭性骨肿瘤保肢手术的临床应用.方法:应用插入式微波天线阵列诱导高温原位灭活治疗肢体恶性或侵袭性骨肿瘤190例.从手术技术、肿瘤学、关节功能、并发症等方面全面综合评价此方法的临床应用效果.结果:恶性骨肿瘤134例,术后平均随访47 mo,因远隔脏器转移死亡者32例,另有3例虽有肺部转移,但经转移病灶切除后现仍无瘤存活;存活率为74.2%;102例存活者中肢体关节功能优者72例,良者14例.骨巨细胞瘤56例,术后平均随访49 mo,1例死于肺转移;3例局部复发,经行瘤段截除大段异体骨移植后治愈;35例关节功能属优,21例为良.结论:插入式微波天线阵列诱导高温原位灭活治疗骨肿瘤技术是一种创新的、有效安全的、临床效果显著的、治疗肢体恶性或侵袭性骨肿瘤的新手段,值得继续应用、改进和评价这一治疗体系.
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