截肢术

The choice of disarticulation or transosseous ampu- tation must be individualized for each patient.

每个病人的关节离断术或经骨截肢术的选择必须个体化。

The choice of disarticulation or transosseous ampu- tation must be indiidualized for each patient.

每个病人的关节离断术或经骨截肢术的选择必须个体化。

The malignant tumors included osteogenic osteosarcoma,metastasis tumor(six patients,two with pathologic fractures),chondrosarcoma,malignant fibrous histiocytoma (three patients,one with pathologic fracture),fibrosarcoma,and solitary myeloma.all patients received limb savage procedure with custom knee prosthesis including sevnteen cases of hinge joint and twenty?

结果 9 例良性肿瘤患者1 例失访，1 例死于其他不相关疾病，其余7 例病人随访时膝关节功能按Enneking制定的标准进行评定，优5 例，良1 例，差1 例，保肢成功率为100％；29 例恶性骨肿瘤患者，骨肉瘤患者失访7 例，2 例患者术后局部复发，行截肢术；其余20 例患者生存期间膝关节功能优10 例，良4 例，差6 例。7 例效果评价差的病人为有6 例为铰链式膝关节假体。

The malignant tumors included osteogenic osteosarcoma,metastasis tumor(six patients,two with pathologic fractures),chondrosarcoma,malignant fibrous histiocytoma (three patients,one with pathologic fracture),fibrosarcoma,and solitary myeloma.all patients received limb savage procedure with custom knee prosthesis including sevnteen cases of hinge joint and twentyone cases of posterior stability joints.Results One of nine patients with benign tumors was lost for followedup,one patient died of unrelated disease,the remained patients have excellent function in five patients,good function in one case,and one poor according to the Enneking evaluating system.the limb salvage rate was 100％.Seven patients were lost for followedup in twentynine of malignant tumors,two patient with malignant fibrous histiocytoma received amputation due to local recurrence nine months postoperatively.Ten patients had excellent function,four good and six poor among the followedup patients.The type of prosthesis in six of all patients with poor function was hinge.

结果 9 例良性肿瘤患者1 例失访，1 例死于其他不相关疾病，其余7 例病人随访时膝关节功能按Enneking制定的标准进行评定，优5 例，良1 例，差1 例，保肢成功率为100％；29 例恶性骨肿瘤患者，骨肉瘤患者失访7 例，2 例患者术后局部复发，行截肢术；其余20 例患者生存期间膝关节功能优10 例，良4 例，差6 例。7 例效果评价差的病人为有6 例为铰链式膝关节假体。

Peripheral sympathectomy was performed as a salvage procedure to prevent digit amputation.

末梢交感神经切除术扮演一种预防手指截肢的拯救手术。

Results 6 cases died perioperatively with a mortality of 6.21%,inc luding 3 with multiple system organ failure,2 wiuh low cardiac output syndrome,1 with renal failure.Among the alive cases,6 suffered from low cardiac output syn drome,6 with multiple system organ failure and 1 with renal failure,but all of t hem were successfully rescued by positive therapy,18 suffered from pulmonary inf ection and 3 with incision infection postoperatively,6 with tracheotomy,1 with l ower limbs necrosis and amputation.

结果 围术期死亡6例，病死率6.21%，其中多系统器官衰竭3例，低心输出量综合征2例，肾功能衰竭1例；存活患者中出现低心输出量综合征6例，并发多系统器官衰竭6例和肾功能衰竭1例，经积极治疗后治愈；术后出现肺部感染18例；手术切口感染3例；气管切开6例；肢体坏死而截肢1 例。

We had seven amputations, most due to severe crush injuries that had lead to vascular compromise and eventual infection, a situation that could have been preventable by early fasciotomy.

我们实施了7例截肢手术，多由于严重挤压受伤导致血管卒中及感染，这种情况有可能通过早期实施筋膜切开减压术得以预防。

The results of four cases of amputation patients, 124 patients with successful limb salvage, the conclusion of the open fracture upper tibia and popliteal artery injury, should be carefully pre-operative examination, assessment of injury.

结果 4例患者进行了截肢，124例患者保肢成功。结论对胫骨上段开放性骨折并动脉损伤，术前应认真检查，对伤情进行评估。

Skin Flap for Transtibial (Below-the-Knee) Amputation 经胫骨截肢术的皮瓣 Load transfer following transtibial amputation appears to be enhanced when the residual limb has a large osseous surface area coered with a durable soft-tissue enelope composed of a well-cushioned mobile muscle mass and full-thickness skin.

当残肢大的骨表面区域覆盖有缓冲作用好的可移动肌肉团和全厚皮肤组成的耐久软组织包封时，经胫骨截肢术后荷重转移似乎增强了。

Skin Flap for Transtibial (Below-the-Knee) Amputation 经胫骨截肢术的皮瓣 Load transfer following transtibial amputation appears to be enhanced when the residual limb has a large osseous surface area covered with a durable soft-tissue envelope composed of a well-cushioned mobile muscle mass and full-thickness skin.

当残肢大的骨表面区域覆盖有缓冲作用好的可移动肌肉团和全厚皮肤组成的耐久软组织包封时，经胫骨截肢术后荷重转移似乎增强了。

Neither the killing of Mr Zarqawi nor any breakthrough on the political front will stop the insurgency and the fratricidal murders in their tracks.

在对危险的南部地区访问时，他斥责什叶派民兵领导人对中央集权的挑衅行为。

In fact,I've got him on the satellite mobile right now.

实际上 我们已接通卫星可视电话了