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find Keyword "软骨母细胞瘤" 2 results
  • 关节镜下治疗胫骨近端软骨母细胞瘤

    目的 总结关节镜下治疗胫骨近端软骨母细胞瘤的疗效。 方法 2008 年6 月- 2010 年5 月采用关节镜下病灶刮除植骨术治疗5 例胫骨近端软骨母细胞瘤。男4 例,女1 例;年龄13 ~ 24 岁,平均18.5 岁。病程6 个月~ 3年,平均21 个月。左侧3 例,右侧2 例。病灶直径为3 ~ 6 cm。 结果 术后病理检查证实为软骨母细胞瘤。术后手术切口均Ⅰ期愈合。5 例均获随访,随访时间12 个月~ 2 年,平均15 个月。X 线片及CT 示植骨均愈合良好,愈合时间为12 ~ 20 周,平均16 周。膝关节无游离体产生;膝关节无僵直,屈曲活动范围正常,无复发。术后膝关节学会评分系统(KSS)评分为(94 ± 4)分,较术前(76 ± 2)分显著改善(t=9.095,P=0.001)。 结论 关节镜下病灶刮除植骨术治疗胫骨近端软骨母细胞瘤近期疗效满意。

    Release date:2016-08-31 04:23 Export PDF Favorites Scan
  • Clinical observation of expanded curettage in treatment of chondroblastoma

    Objective To explore the effectiveness of expanded curettage in the treatment of chondroblastoma. Methods The clinical data of 37 patients with chondroblastoma who were treated with expanded curettage between January 2011 and May 2016 were retrospectively analyzed. There were 24 males and 13 females, with a median age of 17 years (range, 12-30 years). There were 32 primary patients and 5 recurrent patients. Local pain was the first symptom in all patients. The average disease duration was 4.9 months (range, 2-8 months). The lesions were located in the distal femur in 10 cases, the proximal femur in 7 cases, the proximal tibia in 9 cases, the proximal humerus in 5 cases, the patella in 2 cases, the talus in 1 case, the calcaneus in 1 case, and pelvis in 2 cases. According to the Enneking staging of benign bone tumors, all tumors were rated as the 3rd stage. The length of the lesion ranged from 1.2 to 6.9 cm (mean, 3.2 cm). The lesions involved the epiphyseal plate in 19 cases. Results All incisions healed by first intention, and no complications occurred. All patients were followed up 12-76 months, with an average of 40.5 months. At last follow-up, the Musculoskeletal Tumor Society (MSTS) score was 27.5±1.4, and the difference was significant when compared with pre-operative value (18.5±1.9) (t=23.462, P=0.000). The chondroblastoma recurred in 1 case (2.7%) after 5 months. X-ray film showed that bone resorption was found in 6 cases, but there was no obvious collapse in the articular surface of bone graft. The limb shortening deformity occurred in 3 cases who were epiphyseal plate involvement patients and lesions located around the knee joint. But there was no varus deformity, and knee joint activity was not affected. Conclusion Expanded curettage has advantages of low incidence of recurrence and skeletal deformity, good limb function, and it is one of the ideal options for chondroblastoma.

    Release date:2017-12-11 12:15 Export PDF Favorites Scan
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