论文部分内容阅读
目的 探讨儿童胫骨骨与纤维发育不良的诊断、治疗与预后。方法 在复习文献的基础上 ,对 1992年以来手术治疗和门诊观察的 10例儿童胫腓骨骨与纤维发育不良的临床表现、X线特征和手术治疗结果进行回顾性分析。结果 7例手术刮除后都出现术后复发 ,1次复发者 2例、2次复发者 4例 ,3次复发者 1例。结论 儿童胫骨骨与纤维发育不良是一种侵袭性瘤样病变。在发病年龄、X线及病理表现、临床过程等方面 ,与单发性长骨纤维发育不良均有明显的区别。儿童期手术治疗极易复发 ,因此 ,应将手术治疗推迟到骨骼成熟时实施
Objective To investigate the diagnosis, treatment and prognosis of tibial bone and fibrous dysplasia in children. Methods Based on the review of the literature, the clinical manifestations, X-ray features and surgical treatment results of 10 children with tibia and fibula bone and fiber dysplasia after operation and outpatient observation since 1992 were analyzed retrospectively. Results Postoperative recurrence occurred in 7 cases after surgery. There were 2 cases in one case, 4 cases in 2 cases and 1 case in 3 cases. Conclusion Children with tibial bone and fibrous dysplasia are an aggressive tumor-like lesion. In the age of onset, X-ray and pathological findings, clinical processes, and single long fibrous dysplasia were significantly different. Surgical treatment of children is very easy to relapse, therefore, surgery should be delayed until the implementation of bone maturation