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编号:11007459
“T”形植骨治疗膝关节周围骨巨细胞瘤
http://www.100md.com 《中国矫形外科杂志》 2006年第5期
骨巨细胞瘤,,骨巨细胞瘤;,外科手术;,骨移植;,膝关节;,“T”形,1资料与方法,2结果,参考文献:
     摘 要:[目的]介绍膝关节周围骨巨细胞瘤的治疗方法。[方法]本组回顾1995~2003年在本院住院的21例骨巨细胞瘤病人,Campanacci Ⅰ~Ⅱ级。采用局部肿瘤刮除辅以自体“T”形髂骨植骨及苯酚治疗。随访18~24个月。[结果]19例病人随访期内愈合,负重无明显疼痛,膝关节功能无受限。2例病人8~10个月后复发。[结论]对膝关节周围骨巨细胞瘤采用肿瘤刮除及自体髂骨“T”形植骨苯酚治疗是保存膝关节功能防止复发的较好方法。

    关键词:骨巨细胞瘤; 外科手术; 骨移植; 膝关节; “T”形

    “T” shape autologous bone transplantation in treating giant cell tumor of bone around the knee∥HUI Zhengguang,XIN Bing,SHI WeiDepartment of Orthopaedic,the Affiliated Hospital of Xuzhou Medical College,Jiangsu 221002

    Abstract:[Objective]To introduce a surgical technique used in the treatment of giant cell tumor of bone[Method]Twentyone patients were treated in our hospital from 1995 to 2003 for bone tumors of Campanacci Ⅰ~ⅡAll patients underwent curettage and “T” shape autologous bone transplantation and phenolThe patients were followed up for 18~24 months[Result]Eighteen patients were healed on the basis of the duration,all knees presented no function limitedTwo patients had local recurrence 8 to 10 months after the treatment[Conclusion]For the giant cell tumor of bone around the knee,curettage and adjuvant “T” shape autologous bone transplantation is a good alternative method of reconstruction ......

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