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目的总结远节指骨内生性软骨瘤的临床特点及治疗方法。方法2000年1月-2008年4月,收治7例远节指骨内生性软骨瘤患者。男2例,女5例;年龄5～35岁。中指3例,环指2例,示、小指各1例。其中4例多发,合并其他掌、指骨内生性软骨瘤;3例单发。术中取手指侧方入路,刮除肿瘤,其中2例肿瘤横径>1cm者移植冻干异体髂骨块修复肿瘤刮除后造成骨折和骨缺损。结果术后切口均Ⅰ期愈合。患者均获随访,随访时间6～24个月。患指外形均满意,骨质均愈合,肿瘤无复发。除2例植骨患指因固定时间较长,远指间关节屈伸受限外,余患指活动无明显影响。结论远节指骨内生性软骨瘤早期手术可获得良好效果。
Objective To summarize the clinical features and treatment of distal phalangeal endochondral cartilage. Methods From January 2000 to April 2008, 7 patients with distal phalangeal endochondral cartilage were treated. 2 males and 5 females; aged 5 to 35 years old. Middle finger in 3 cases, ring finger in 2 cases, showing the little finger in 1 case. 4 cases of multiple, combined with other palms, phalangeal endochondral cartilage; 3 cases of single. Surgery to take the side of the finger approach to curettage of the tumor, of which 2 cases of tumor diameter> 1cm were transplanted lyophilized allogeneic iliac bone repair tumor curettage caused by fractures and bone defects. Results The incisions healed in the first stage. All patients were followed up for 6-24 months. Patients are satisfied with the shape, bone heal, tumor recurrence. Except for 2 cases of bone graft, the mean time was longer and the distal interphalangeal joint flexion and extension were limited. Conclusion distal phalangeal endochondral cartilage early surgery can get good results.