内镜辅助单纯病灶刮除治疗手指内生软骨瘤的疗效分析  

Therapeutic Effects of Endoscopic-assisted Simple Curettement for Hand Enchondroma

作　　者：郑宪友[1] 史其林[2] 韩培[1] 邵雷[1] 杨明杰[2] 

机构地区：[1]上海交通大学附属第六人民医院骨科,上海200233 [2]复旦大学附属华山医院手外科,上海200040

出　　处：《中国微创外科杂志》2010年第3期264-265,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨内镜辅助单纯病灶刮除治疗手指内生软骨瘤的疗效。方法2002年6月～2008年5月,18例20指手部内生软骨瘤,在内镜辅助下行单纯病灶刮除而未行自体骨或人工骨植骨。术后摄X线片观察骨愈合,肿瘤复发以及骨折、感染、关节僵硬等并发症的发生情况。结果手术时间(112.5±10.2)min,住院时间(4.2±1.2)d。18例随访9～34个月,平均13.4月,术后骨愈合时间(12.2±0.8)月;术后无肿瘤复发;2指由于病灶与关节面毗邻,术后发生不同程度的关节僵硬。结论内镜辅助下单纯病灶刮除治疗手指内生软骨瘤,由于借助内镜的放大作用而彻底清除髓腔残存的瘤细胞,因而术后复发率低,疗效满意。Objective To discuss the therapeutic effects of simple curettement assisted by endoscope in the treatment of enchondroma in the hands.Methods From June 2002 to May 2008,totally 18 patients with fingers enchondroma（20 fingers）received endoscopic-assisted simple curettement in our department without using autogenous or artificial bone grafting.The time of bone union,recurrence rate of enchondroma,and incidence rate of complications including fracture,infection and arthrosclerosis were recorded.Results The mean operation time of this series was（112.5±10.2）minutes.The patients were discharged from the hospital in（4.2±1.2）days.All of them were followed up for a mean of 13.4 months（ranged from 9 to 34 months）.The average time of bone union was（12.2±0.8）months.No patient had recurrent tumor after the surgery.Two of the twenty fingers developed arthrosclerosis because the lesion was adjacent to the articular facets.Conclusions Simple curettement assisted by endoscope is effective for enchondroma in the hands with low recurrence rate of enchondroma thanks to the thorough curettement of the relict oncocytes in the medullary cavity under an endoscope.

关 键 词：指骨 内生软骨瘤 内镜 植骨 

分 类 号：R738.3[医药卫生—肿瘤]