论文部分内容阅读
目的探讨股骨远端骨巨细胞瘤部分边缘外肿瘤切除+关节面下刮除+自体骨植骨钢板内固定术治疗股骨远端骨巨细胞瘤的临床疗效。方法选择2010年6月—2012年6月收治的13例股骨远端骨巨细胞瘤患者,均行部分边缘外肿瘤切除+关节面下刮除+自体骨植骨钢板内固定术。采用膝关节Bristol评分评估术后膝关节功能,并随访影像学资料评估是否复发。结果 13例患者均顺利完成手术,且术后均获得随访,随访时间0.5～2.5a,中位随访2a。随访期间均未发现复发,Bristol膝关节评分:术后6个月为(39.1±5.5)分,术后1a为(42.4±2.8)分,术后2a为(43.6±3.3)分。结论部分边缘外肿瘤切除+关节面下刮除+自体骨植骨钢板内固定术是治疗股骨远端良性肿瘤的一种有效的手术方法。
Objective To investigate the clinical effect of distal excision of giant cell tumor of the distal femur with excision of the margins of the giant cell tumor of the distal femur + scraping of the surface of the femur with autologous bone graft and internal fixation with autologous bone graft in the treatment of giant cell tumor of the distal femur. Methods Thirteen patients with distal giant cell tumor of the distal femur who were treated from June 2010 to June 2012 were treated with partial marginal tumor resection plus facet joint removal and autologous bone graft. Knee joint Bristol score was used to evaluate postoperative knee function and follow-up imaging data to assess whether recurrence. Results All the 13 patients were successfully completed the operation and were followed up for 0.5-2.5 years. The median follow-up was 2a. No recurrence was found during follow-up. The Bristol knee score was (39.1 ± 5.5) at 6 months postoperatively, 42.4 ± 2.8 postoperatively and 43.6 ± 3.3 postoperatively. Conclusion Some of the marginal tumor excision + facet scraping + autologous bone graft plate fixation is an effective surgical treatment of benign distal femoral tumors.