单纯肿物摘除术和外科手术治疗胫骨骨软骨瘤患者近远期疗效对比研究  

Short-term and Long-term Efficacy of Simple Tumor Resection and Surgical Operation for Patients with Tibial Osteochondroma

作　　者：段俊虎[1] 

机构地区：[1]湖北省襄阳市第一人民医院(湖北医药学院附属襄阳医院),441000

出　　处：《实用癌症杂志》2016年第6期966-968,共3页The Practical Journal of Cancer

摘　　要：目的探讨单纯肿物摘除术和外科手术治疗胫骨骨软骨瘤的近远期疗效。方法选取30例胫骨骨软骨瘤患者为研究对象,对照组15例给予单纯肿物摘除术,观察组15例给予外科手术治疗。观察治疗后2组患者的近期、远期指标变化情况。结果对照组优良率26.67%,观察组优良率66.67%,2组优良率比较差异有统计学意义(P=0.026)。2组患者治疗后膝关节屈曲、旋转正常以及踝关节背屈正常的比例比较差异有统计学意义(P=0.005,P=0.034,P<0.001)。2组的疼痛、复发和恶变发生率比较差异无统计学意义(P>0.05)。治疗后观察组的膝关节、踝关节评分均高于对照组(P=0.003,P=0.009)。结论手术治疗胫骨骨软骨瘤的近远期疗效满意,无明显不良反应。Objective To explore the short-term and long-term efficacy of simple tumor resection and surgical operation for patients with tibial osteochondroma. Methods 30 tibial osteochondroma patients were included in this study,15 cases in the control group received the simple tumor excision,and other 15 cases in the observation group underwent surgical treatment. Shortterm and long-term indicators were observed after treatment. Results The excellent rate in the control group was 26. 67%,and in the observation group was 66. 67%,there had significant difference（ P = 0. 026）. The rates of normal knee flexion,rotation and ankle motion between the 2 groups had significant difference（ P = 0. 005,P = 0. 034,P〈0. 001）. The rates of pain,recurrence and malignant transformation had no significant difference（ P〉0. 05）. After treatment the scores of Kofoed and HSS in the observation group were significantly greater than those of the control group（ P = 0. 003,P = 0. 009）. Conclusion Surgical treatment for tibial osteochondroma have good short-term and long-term efficacy,with tolerable adverse effects.

关 键 词：手术 胫骨骨软骨瘤 近远期疗效 

分 类 号：R738.3[医药卫生—肿瘤]