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作 者:邱晓明[1] 甄平[2] 刘健[2] 乔永杰[2] 赵青 Qiu Xiaoming Zhen Ping Liu Jian Qiao Yongjie Zhao Qing(Department of Orthopedic, Lanzhou Military Region General Hospital, Lanzhou730000, Chin)
机构地区:[1]兰州大学第二医院骨科,730000 [2]兰州军区兰州总医院骨科,730000 [3]甘肃省金昌市中西医结合医院骨科
出 处:《中国医师进修杂志》2017年第1期46-49,共4页Chinese Journal of Postgraduates of Medicine
摘 要:目的:分析骨膜骨肉瘤的发病特点、发病部位及治疗方法与预后的关系。方法对收治的1例骨膜骨肉瘤患者进行回顾性分析,并对近年中国知网数据库报道的35例患者进行总结分析。结果收治的骨膜骨肉瘤患者女,16岁,发生于胫骨,行广泛切除术,术后3个月随访无复发转移。文献报道的35例患者中,发病年龄以14~35岁为主,女性稍多于男性(19例比16例),发病部位以胫骨和股骨为主;35例均行手术治疗,转移4例;手术联合化疗6例。结论骨膜骨肉瘤患者女性稍多于男性;发病部位以胫骨和股骨为主;化疗疗效不确切,广泛切除为其最有效治疗手段;术后转移率低,转移部位及特点不确切。Objective To investigate the clinical characteristics, location, treatment and prognosis of periosteal osteosarcoma. Methods The data of 1 patient with periosteal osteosarcoma was retrospectively analyzed, and the 35 cases reported in CNKI database in recent years were analyzed. Results The patient of periosteal osteosarcoma was female and 16 years old. Periosteal osteosarcoma occurred in the tibia. The patient was treated with extensional resection, and had no recurrence and metastasis 3 months after operation. Among the 35 patients reported in the literature, the age of onset ranged from 14 to 35, the female was slightly more than the male (19 cases vs. 16 cases), and the lesion site was mainly in the tibia and femur. The 35 patients underwent surgical treatment, and 4 cases had metastasis;6 cases were treated by surgery combined with chemotherapy. Conclusions Female patients with periosteal osteosarcoma were slightly more than male, and the lesion site is mainly in the tibia and femur. The chemotherapy effect is not exact, and extensional resection is the most effective treatment method. The transfer site and the characteristics are not exact.
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