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目的 :探索小儿长骨骨病、肿瘤切除后腔性骨缺损的修复效果。方法 :采用吻合血管的超长腓骨嵌入移植术式 ,修复骨肿瘤 ,肿瘤样变切除后的骨缺损。结果 :经术后 1～ 8年的随访 ,嵌入大段腓骨与病灶清除后腔性骨床相融一体 ,未见肿瘤复发 ;修复骨质的外形与功能均令人满意。结论 :对诸如广泛性纤维异样增殖症、动脉瘤样骨囊肿 ,骨化性纤维瘤 ,进行病变彻底刮除或切除后 ,采用吻合血管大段腓骨嵌入植骨的术式 ,能使有限的植骨量最大限度达到充填修复效果 ;该术式保留了受区长骨细薄骨皮质连续性与完整 ,有利于骨干的塑形。同时对小儿未成熟的骨干、骨骺之损害减低至最小限度。
Objective: To explore the long-term osteodystrophy in children, the resection of the cavity after bone defect repair effect. Methods: Anastomosis of blood vessels using the long fibula transplantation surgery, repair of bone tumors, resected tumor-like defects. Results: After 1 to 8 years of follow-up, a large segment of fibula was embedded into the cavity-shaped bone bed after the lesion was cleared. There was no tumor recurrence. The shape and function of the restored bone were satisfactory. CONCLUSIONS: Findings such as extensive fibrous dysplasia, aneurysmal bone cysts, and ossifying fibroids are completely surgically removed or resected using a large segment of fibula embedded in the blood vessel The maximum amount of bone to fill the repair effect; the operation retained by the canine bone thin cortical bone continuity and integrity, is conducive to the shape of the backbone. At the same time the immature backbone of children, epiphyseal damage reduced to a minimum.