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桡骨远端骨巨细胞瘤手术疗效观察

赵志明, 邢丹谋, 任东, 陈焱, 冯伟, 王欢

赵志明, 邢丹谋, 任东, 陈焱, 冯伟, 王欢. 桡骨远端骨巨细胞瘤手术疗效观察[J]. 肿瘤防治研究, 2015, 42(10): 1027-1030. DOI: 10.3971/j.issn.1000-8578.2015.10.017
引用本文: 赵志明, 邢丹谋, 任东, 陈焱, 冯伟, 王欢. 桡骨远端骨巨细胞瘤手术疗效观察[J]. 肿瘤防治研究, 2015, 42(10): 1027-1030. DOI: 10.3971/j.issn.1000-8578.2015.10.017
ZHAO Zhiming, XING Danmou, REN Dong, CHEN Yan, FENG Wei, WANG Huan. Surgery Oberservation of Giant Cell Tumors on Distal Radius[J]. Cancer Research on Prevention and Treatment, 2015, 42(10): 1027-1030. DOI: 10.3971/j.issn.1000-8578.2015.10.017
Citation: ZHAO Zhiming, XING Danmou, REN Dong, CHEN Yan, FENG Wei, WANG Huan. Surgery Oberservation of Giant Cell Tumors on Distal Radius[J]. Cancer Research on Prevention and Treatment, 2015, 42(10): 1027-1030. DOI: 10.3971/j.issn.1000-8578.2015.10.017

桡骨远端骨巨细胞瘤手术疗效观察

详细信息
    作者简介:

    赵志明(1985-),男,硕士, 住院医师,主要从事上肢创伤及骨病研究

  • 中图分类号: R738.1

Surgery Oberservation of Giant Cell Tumors on Distal Radius

  • 摘要: 目的 观察桡骨远端骨巨细胞瘤手术治疗的效果。方法 选取19例接受手术治疗的桡骨远端骨巨细胞瘤患者,其中3例桡骨远端病变患者接受了病灶刮除术,另16例采用瘤段切除自体腓骨移植术。术后随访患者复发情况和关节功能状况。结果 术后平均随访45月,3例接受病灶刮除术患者1例局部复发,其余患者无局部复发, 无感染或周围神经损伤等并发症。2例患者接受自体腓骨移植后出现骨不连,采用自体髂骨块植骨治疗后骨愈合。术后根据骨与软组织协会(Musculoskeletal Tumor Society,MSTS)功能评判系统对肢体功能进行评价,平均得分为76%,肢体功能得分与患者性别、肿瘤发生部位和Campanacci骨巨细胞瘤影像学分期无关,与手术方式有关。结论 瘤段切除术治疗桡骨远端骨巨细胞瘤可降低肿瘤局部复发率,自体腓骨移植是重建桡腕关节的可行方法。

     

    Abstract: Objective To evaluate the outcomes of surgical treatment of giant cell tumors on distal radius. Methods Nineteen patients with giant cell tumors on distal radius who were followed up for at least 24 months were selected. Three patients with giant cell tumors on distal radius were treated with intralesional excision, and the other 16 were managed with en bloc resection and reconstruction with autogenous fibular head graft. Patients were followed up for recurrence and joint function.Results Patients were followed up for an average of 45 months. One of 3 patients who were treated with intralesional excision experienced local recurrence. No patient who were treated with en bloc resection experienced local recurrence or complications of infection and peripheral nerve injury. Bone nonunion was found in two patients after reconstruction with fibular head graft, and bone union was achieved after autogenous ilium graft.MSTS scoring of limb function after operation was 76%, and limb function scoring was not associated with gender, tumor location and Campanacci giant cell tumor imaging classification,while was associated with surgical approaches. Conclusion En bloc resection for treatment of patients with giant cell tumors on distal radius can decrease the local recurrence rate. Autogenous fibular head graft can be used for reconstruction of wrist joint.

     

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出版历程
  • 收稿日期:  2015-04-13
  • 修回日期:  2015-06-18
  • 刊出日期:  2015-10-24

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