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目的 :观察采用刮除、酒精灭活及骨水泥填充相结合治疗骨巨细胞瘤的疗效。方法 :对 1980年 6月～ 1998年 3月 ,经刮除、酒精灭活加骨水泥填充治疗的骨巨细胞瘤 98例进行随访。男 45例 ,女 5 3例。发病部位 ,股骨下端48例、胫骨上端 2 4例、肱骨上端 7例、桡骨远端 8例、股骨上端 3例、髂骨 2例、骶骨 4例、肱骨下端、尺骨各 1例。结果 :术后平均随访时间为 5年 3个月 ,1年内复发率 5 .9% ,3年内复发率 12 .9% ,5年内复发率为 13.9%。结论 :强调手术过程中刮除的精细操作、酒精灭活和骨水泥填充时的再灭活作用 ,提出彻底刮除、酒精灭活和骨水泥填充手术可以使囊内切除手术达到邻界切除手术的效果。
Objective: To observe the curative effect of giant cell tumor of bone combined with scraping, alcohol inactivation and bone cement filling. METHODS: From June 1980 to March 1998, 98 patients with giant cell tumor of bone treated by curettage, alcohol inactivation, and bone cement were followed up. There were 45 males and 53 females. Incidence sites, 48 cases of femoral lower end, 24 cases of upper tibia, 7 cases of upper humerus, 8 cases of distal humerus, 3 cases of upper femur, 2 cases of humerus, 4 cases of sacrum, lower humerus, and 1 ulna. Results: The average follow-up time was 5 years and 3 months. The recurrence rate was 5.9% within one year, the recurrence rate was 12.9% within three years, and the recurrence rate was 13.9% within five years. Conclusion: Emphasizing the fine operation of scraping during surgery, alcohol inactivation, and reinactivation at the time of filling with bone cement, it is proposed that thorough scraping, alcohol inactivation, and cement-filled surgery can make intracapsular resection possible. Effect.