16例长骨软骨母细胞瘤手术治疗效果分析  

Clinical effect of long bone chondroblastoma in 16 cases

作　　者：杨红胜[1] 段宏[2] 常山[1] 严小虎[1] 

机构地区：[1]成都医学院第一附属医院脊柱外科,成都610500 [2]四川大学华西医院骨科,成都610041

出　　处：《中华实用诊断与治疗杂志》2016年第5期461-462,共2页Journal of Chinese Practical Diagnosis and Therapy

基　　金：四川省教育厅课题(13ZB0232)

摘　　要：目的探讨手术治疗软骨母细胞瘤的临床效果。方法长骨软骨母细胞瘤患者16例，7例骺板未闭；14例行囊内切除手术，2例行病灶边缘切除术。观察术后有无病灶复发、国际保肢学会评分、植骨愈合情况以及骨骺未闭合者的患肢长度。结果术后随访36-72个月，2例有轻度膝关节疼痛，14例术后关节功能良好；7例骺板未闭者术后患肢短缩7-13mm，对活动无明显影响；3例术后部分植骨吸收，但植骨区关节面无塌陷；术后国际保肢学会评分（28．5±1．1）分，无下肢跛行症状；随访时间未发生局部复发及远处转移。结论病灶刮除及边缘切除术治疗软骨母细胞瘤临床疗效确切。Objective To evaluate the clinical therapeutic effect of operation on long bone chondroblastoma. Methods Sixteen patients witb long bone chondroblastoma including open epiphseal plate underwent intracapsular excision in 14 patients and marginal excision in 2. The recurrence, ISOLS scores, bone graft healing and the limb length of open epiphyseal plate were observed after operation. Results All patients were followed up for 36 to 72 months, showing slight knee joint pain and no recurrence. Seven patients involved in epiphyseal plate were found the limbs shortened from 7 to 13 mm, having no obvious influence on the limb activity. Partial graft bone resorption was found with no collapsing at articular facet of graft bone in 3 patients. The ISOLS score was 28.5±1.1. No claudication was found in lower limb. No local recurrence and distant metastasis occurred in follow-up survey. Conclusion Curettage plus marginal resection is effective for chondroblastoma.

关 键 词：软骨母细胞瘤 良性骨肿瘤 病灶清除 骺板损伤 

分 类 号：R738[医药卫生—肿瘤]