论文部分内容阅读
目的探讨骨巨细胞瘤手术治疗的临床效果。方法 2000年8月至2010年9月手术治疗33例骨巨细胞瘤患者,其中肿瘤切除﹢石炭酸烧灼、酒精局部灭活﹢骨水泥填塞术10例;病灶刮除﹢植骨6例;单纯瘤段切除5例;瘤段切除人工假体置换5例;瘤段切除关节融合4例;病灶刮除术治疗Ⅲ期患者3例。结果全部患者均获得随访,随访时间6个月～4.5年,平均2.6年。病灶刮除骨水泥填充10例,肿瘤复发2例;病灶刮除植骨6例,肿瘤复发1例;单纯瘤段切除5例,肿瘤复发1例;瘤段切除人工假体置换5例,肿瘤复发0例。瘤段切除关节融合4例,肿瘤复发0例;病灶刮除术治疗Ⅲ期患者3例,肿瘤复发1例。结论手术治疗骨巨细胞瘤的临床效果是令人满意的,但其复发是一个值得注意的问题。
Objective To investigate the clinical effect of surgical treatment of giant cell tumor of bone. Methods From August 2000 to September 2010, 33 patients with giant cell tumor were surgically treated, including tumor resection + carbolic acid cautery, alcohol partial inactivation + bone cement plugging in 10 cases; curettage plus bone graft in 6 cases; 5 cases were resected by segment, 5 cases were resected by artificial segment prosthesis, 4 cases were resected by tumor segment, and 3 cases were treated by curettage. Results All patients were followed up for 6 months to 4.5 years with an average of 2.6 years. There were 10 cases of tumor curettage and bone cement filling, 2 cases of tumor recurrence, 6 cases of curettage and bone grafting, 1 case of tumor recurrence, 5 cases of simple tumor resection, 1 case of tumor recurrence, 5 cases of tumor resection and artificial prosthesis replacement, Recurrent 0 cases. Tumor resection in 4 cases of joint fusion, tumor recurrence in 0 cases; curettage in the treatment of stage Ⅲ in 3 patients, 1 case of tumor recurrence. Conclusion The clinical effect of surgical treatment of giant cell tumor of bone is satisfactory, but the recurrence is a problem worth noting.