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对58例手术治疗的骨巨细胞瘤(GCT)病人术后随访2年以上,观察其疗效。结果发现:GCT3期术后复发率明显高于2期(P<0.05);在GCT2期采用病变内刮除术后复发率明显高于广泛或根治性切除术后复发率(P<0.05)。表明GCT的外科分期对判定术后复发、准确评价疗效及指导治疗有重要价值;GCT的手术类型是影响术后复发的重要因素。
Fifty-eight patients with giant cell tumor of bone (GCT) were followed up for more than 2 years to observe their curative effect. The results showed that the recurrence rate of GCT3 was significantly higher than that of 2 (P <0.05). The recurrence rate after GCT2 was significantly higher than that after extensive or radical resection (P <0. .05). It is indicated that the surgical staging of GCT is of great value in judging postoperative recurrence, accurately evaluating the curative effect and guiding the treatment. The type of GCT is an important factor that affects postoperative recurrence.