| 夏李明,金 谷,吴 昊.间室切除治疗三角肌区恶性肿瘤及肩外展功能重建临床研究[J].肿瘤学杂志,2015,21(11):913-916. |
| 间室切除治疗三角肌区恶性肿瘤及肩外展功能重建临床研究 |
| Application of Compartment Resection in Patients with Deltoid Malignant Tumor and the Following Functional Reconstruction of the Shoulder Abduction |
| 投稿时间：2015-07-23 |
| DOI：10.11735/j.issn.1671-170X.2015.11.B011 |
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| 中文关键词: 三角肌 肌室切除 背阔肌 肌瓣 肿瘤 |
| 英文关键词:deltoid muscle compartment resection latissimus dorsi muscle musculocutaneous flap neoplasms |
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| 摘要点击次数: 2432 |
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| 中文摘要: |
| 摘 要：［目的］ 探讨间室切除在三角肌区恶性肿瘤中的应用及三角肌全切后肩外展功能重建方法。［方法］ 回顾性研究8例手术治疗的三角肌区恶性肿瘤患者，其中原发三角肌区恶性肿瘤7例，转移性肿瘤1例。均行三角肌间室切除。肩外展功能重建：轴型背阔肌肌瓣转位6例；斜方肌移位2例。观察其术后功能恢复并进行随访。［结果］ 皮瓣全部成活。肌力Ⅴ级7例，Ⅳ级1例。肩主动外展90° 6例，70° 2例。随访时间3~25个月，平均15.8个月。随访期间患肩功能良好；未见复发、转移迹象。［结论］ 三角肌间室切除是治疗三角肌恶性肿瘤的首选手术方式；三角肌全切后需行肩外展功能重建；重建方式可选择轴型背阔肌肌（皮）瓣和斜方肌肌瓣，本研究提示轴型背阔肌肌（皮）瓣重建后功能优于斜方肌肌瓣重建。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the deltoid compartment resection in patients with deltoid malignant tumor and the following functional reconstruction of the shoulder abduction . ［Methods］Clinical data of 8 cases undergoing deltoid compartment resection for malignant tumor were reviewed. Among them，7 patients were diagnosed as primary malignant tumor，the other one was secondary malignant tumor. Six cases was reconstructed with transferred latissimus dorsi musculocutaneous flap，and other two received trapezius muscles displacement. ［Results］ There was no flap necrosis in any case. The myodynamia of shoulder abduction achieved grade Ⅴin 7 cases，grade Ⅳ in 1 case. Active abduction of the shoulder joint was 120° in 1 case，90° in 5 cases and 80° in 2 cases. Duration of follow-up of the 8 patients was from 3 to 25 months，with average time of 15.8 months. During the follow-up，no case had recurrence，metastasis and dysfunction.［Conclusion］Deltoid compartment resection might be the preferred operation for those suffered from deltoid malignant tumor. Functional reconstruction of the shoulder abduction following compartment resection is necessary and dorsal myocutaneous flap transposition is preferred. |
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