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为了探讨病灶切除术与病灶刮除术治疗肱骨良性肿瘤的临床疗效和手术适应证,回顾性分析15例肱骨良性肿瘤患者的临床资料,比较两种手术治疗后患者的功能恢复和生存质量情况。随访3年,15例患者均无恶变。术后病灶切除术组MSTS总评分为(28.9±7.3)分,病灶刮除术组为(20.1±5.4)分,两组差异有统计学意义,P<0.05。手术后病灶切除术组生存质量评分为(93.45±6.58)分,病灶刮除术组生存质量评分为(83.41±9.45)分,术后3年两组差异有统计学意义,P<0.05。初步研究结果提示,病灶切除术组的术后功能恢复优于病灶刮除植骨术组,骨软骨瘤和骨样骨瘤可以采用病灶切除术联合自体植骨术治疗。
To investigate the clinical efficacy and surgical indications of focal resection and focal curettage in the treatment of benign humeral humerus, clinical data of 15 patients with benign humerus were retrospectively analyzed. The functional recovery and quality of life of the two patients after operation were compared. Three years follow-up, 15 patients were not malignant. The total score of MSTS in postoperative resection group was (28.9 ± 7.3) points and (20.1 ± 5.4) points in curettage group, the difference was statistically significant (P <0.05). The quality of life score of the surgical resection group was (93.45 ± 6.58) points, and the curettage group was (83.41 ± 9.45) points after operation. The difference between the two groups after 3 years was statistically significant (P <0.05). Preliminary results suggest that functional recovery after focal resection group is better than curettage and bone graft group, osteochondroma and osteoid osteoma can be treated with focal resection combined with autologous bone graft.