摘要
[目的]评价桡骨远端骨巨细胞瘤微波消融病灶刮除术的临床疗效和手术适应证。[方法]回顾分析本院桡骨远端骨巨细胞瘤微波消融病灶刮除术治疗的8例桡骨远端骨巨细胞瘤患者的临床资料,其中男2例,女6例,年龄平均(38.0±17.6)岁,肿瘤直径平均(4.2±0.8) cm,Campanacci分级II级3例、III级5例。[结果]所有患者均顺利完成手术,术中无神经、血管损伤等严重并发症。8例患者随访(64.4±27.7)个月,随时间推移,患者VAS评分、DASH评分均显著减少(P<0.05),MSTS评分及腕关节伸-屈、桡偏-尺偏、旋前-旋后ROM和手腕握力均显著增加(P<0.05)。影像学检查术后无病理骨折发生,8例患者病灶均已清除,末次随访,未见局部复发和肺转移。[结论]微波消融病灶刮除治疗Campanacci II~III级桡骨远端骨巨细胞瘤手术安全,初步结果满意。
[Objective] To evaluate the clinical indications and outcomes of microwave ablation and curettage for giant cell tumor in the distal radius.[Methods] A retrospective study was conducted on 8 patients who received microwave ablation and curettage for giant cell tumor in the distal radius in our hospital,including 2 males and 6 females,with an average age of(38.0±17.6) years,tumor diameter of(4.2±0.8) cm,3 cases of Campanacci grade II and 5 cases of grade III.[Results] All patients had operation performed successfully without serious complications such as nerve and blood vessel injury.With time of follow-up lasted for(64.4±27.7) months,the VAS score for pain and DASH score significantly decreased(P<0.05),while MSTS scores,wrist extension-flexion,radio-ulnar deviation and pronation-supination range of motion(ROM),as well as wrist grip strength significantly increased(P<0.05).Radiographically,all the 8 patients had the lesion removed completely without pathological fracture postoperatively,and no local recurrence or lung metastasis by the latest follow-up.[Conclusion] Microwave ablation and curettage is safe and achieves satisfactory preliminary results for Campanacci grade II~III giant cell tumor of the distal radius.
作者
李建华
徐明
郑凯
于秀淳
LI Jian-hua;XU Ming;ZHENG Kai;YU Xiu-chun(Department of Orthopedics,960 Hospital,Joint Logistic Support Force of PLA,Jinan 250031,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2023年第21期1998-2000,2004,共4页
Orthopedic Journal of China
关键词
骨巨细胞瘤
桡骨远端
微波消融
病灶刮除
giant cell tumor of bone
distal radius
microwave ablation
curettage
