探讨臀大肌肌瓣在骶尾部脊索瘤手术治疗中的应用.方法 1996年12月至2011年7月间,共有20例骶尾骨脊索瘤的患者在我院接受手术治疗.均采用后方入路广泛切除肿瘤,早期12例病例未采用臀大肌肌瓣,后期8例采用臀大肌肌瓣填塞缺损.结果 两组均有数例出现膀胱控尿功能及大便控制能力受损,但后期病例复发率和切口并发症发生率明显降低.结论 骶尾部脊索瘤的最佳治疗为广泛的手术切除,但术后容易出现切口并发症及外形不佳,采用臀大肌肌瓣填塞,可大大减少切口并发症的发生,效果满意.%Objective To investigate the glutaeus maximus musculo flap in the treatment of sacroco'ccygeal chordo-ma. Methods 20 cases of sacrococcygeal chordoma patients were accepted with operation treatment. All patients Using posterior approach with wide resection of the tumor, early 12 cases did not adopt the gluteus maximus musculo flap, later in 8 patients using the glutaeus maximus musculo flap packing defect. Results The two groups are few cases of bladder urination and bowel control ability is impaired, but late recurrence rate and incision complication rate was reduced significantly. Conclusion A wide range of operation excision is the best therapy for sacrococcygeal chordoma, but postoperative prone to wound complications and poor appearance, using the glutaeus maximus musculo flap packing, the incision complications can reduce greatly, The effectis satisfactory.
展开▼
