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目的 分析腱鞘巨细胞瘤的发病特点及复发的相关因素,降低其复发率.方法 对我院2008年10月至2013年12月收治的110例腱鞘巨细胞瘤患者的发病特点、手术方法及远期疗效进行回顾性分析.结果 本组110例中切口甲级愈合101例,乙级愈合9例.2例出现手指麻木症状,5例出现不同程度的皮缘坏死.术后均行病理检查,诊断为局限型腱鞘巨细胞瘤76例,弥漫型腱鞘巨细胞瘤34例.腱鞘巨细胞瘤好发部位以手指掌侧最为多见,常见于21～ 55岁的青壮年女性患者.其中61例患者术后获得随访,平均时间31个月,复发11例,术后复发率为18.03％.结论 腱鞘巨细胞瘤的复发与其生物学特性、瘤体未能彻底切除、卫星灶的残留、包膜是否完整等因素有关,避免术后复发的关键因素是术前准确定位、彻底切除病变组织、清扫周围卫星灶.“,”Objective To analyze the epidemiological characteristics and factors related to recurrence of giant cell tumor of tendon sheath.Methods From October 2008 to December 2013,110 cases of giant cell tumor of tendon sheath were included.The clinical characteristics,surgical methods,and long-term effect were collected and analyzed retrospectively.Results Incision healings of 101 patients were ranked as class A and the remaining were ranked as class B.Finger numbness occurred in 2 cases,and skin margin necrosis occurred in 5 cases at different degrees.76 patients were diagnosed as localized-type giant cell tumor of tendon sheath and 34 were diagnosed as diffuse-type giant cell tumor of tendon sheath.Giant cell tumor of tendon sheath occurred mainly on volar finger,mostly seen in 21 to 55 years old female patients.The rate of postoperative recurrence was 18.03 ％ after a mean follow-up of 31 months.Conclusion Recurrence of giant cell tumor of tendon sheath is related to biological characteristics,incomplete tumor resection,presence of satellite lesions,pseudocapsule and so on.The critical factors to avoid its recurrence are accurately preoperative locating,complete tumor resection,and cleaning satellite lesions around the pathological changed tissue.