Objective Using artificial tumor prosthesis replacement to treat osteosarcoma around the knee is a combined surgical therapy mainly for limb salvage. which is different from the simple method of amputation. Whereas, for this surgery, studies related to nursing are relatively rare. In this study, the nursing and the clinical effects of using artificial tumor prosthesis replacement to treat osteosarcoma around the knee has been discussed. Methods 62 cases of osteosarcoma around the knee were extensively resected. Pre-operative care of intervention, the skin preparation and the psychological care were done before the operation. Nursing of drainage , prevention and care of complications were done after the operation. The patients were given early functional exercise guide and their knee functions were followed-up regularly. Results The 62 cases were followed-up for 6 months to 103 months, 4 cases had recurrence and 3 cases had complications. The flexed motion range of articulation was 90 -98° and straight up to 180°, the Mus culoskeletal Tumor Society ( MSTS) rate of good and excellent was 85. 4％ . Conclusion Using artificial tumor prosthesis replacement to treat osteosarcoma around the knee is the mainstream of surgical treatment, Good nursing and careful observarion is the key of success for the operation and the recovery of knee function.%目的 膝关节周围骨肉瘤人工肿瘤型假体置换术是以保肢治疗为主的综合外科治疗方法,文中探讨此手术的护理及临床疗效.方法 对62例膝关节周围骨肉瘤进行安全边界切除,术前做好介入护理和皮肤准备,施行心理护理,术后做好引流管的护理,并发症的预防和护理,早期有序的功能锻炼指导.并对膝关节功能锻炼情况定期随访.结果 62例患者随访6～103个月,4例出现肿瘤复发,3例出现并发症.膝关节屈曲90～98°,伸直达180°,骨与软组织肿瘤协会(the Musculoskeletal Tumor Society,MSTS)保肢评分系统对保肢者进行功能评分,优良率为85.5%.结论 对膝关节周围骨肉瘤进行人工肿瘤型假体置换术是外科治疗的主流,良好的护理和仔细的观察是保证手术成功和膝关节功能恢复的关键.
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