摘要
目的探讨股骨近端良性骨肿瘤外科治疗方法及疗效。方法股骨近端良性骨肿瘤患者16例,依据肿瘤类型及骨损害程度,选择不同术式行外科治疗,依据Eneeking评分标准进行术后关节功能评估。结果行单纯切除术3例,刮除术4例,刮除+植骨术5例,刮除+骨水泥填充、刮除+植骨+动力性髁螺钉(DCS)内固定、刮除+植骨+动力髋螺钉(DHS)预防性内固定、扩大切除+人工全髋关节置换术各1例。平均随访24.4(3～46)个月,Enneking功能评分,除1例人工全髋关节置换术后6周为27分、3个月时为29分外,其余患者术后3个月均达满分。结论股骨近端良性骨肿瘤根据肿瘤类型及损害程度选择合适的术式,治疗效果及功能恢复均良好。
Objective To investigate the mcthod and efficacy of surgical rnanagement of benign tumors of the proximal femur. Methods Sixteen patients with henign hone tumors in the proximal femur were treated with different surgical methods. The results were cvaluated by Eneeking scoring during follow up. Results Tumor resection was performed in 3 cases, curcttagc of lcsion in 4 cases, curettage plus bone allograft in 5 cases,curettage with bone cement in 1 case. curettage plus allografts and instrumentation with dynamic condyle screw（DCS） in one case, curettage with allograft and internal fixation with dynamic hip screw DHS in one case and total hip replacement in one case. The average follow-up was 24.4 （3-46） months. All paticnts had a full Enneking＇s function score of 30 points except for one patient treated with wide resection and total hip replacement, whose Enneking＇s function score was 27 points on the 6^th week and 29 points on the 3^rd month. Conclusion The successful outcome can be achieved in the patients with benign hone tumors in the proximal femur as long as a proper surgical techniguc is chosen.
出处
《江苏医药》
CAS
CSCD
北大核心
2009年第12期1448-1450,共3页
Jiangsu Medical Journal
关键词
股骨
良性骨肿瘤
Femur
Benign bone tumor
