跟骨骨巨细胞瘤行刮除植骨术一例长期随访报道  

One cases report and literature review of calcaneus giant cell tumor

作　　者：徐明[1] 郑凯[1] 于秀淳[1] XU Ming;ZHENG Kai;YU Xiu-chun(Department of Orthopedics,General Hospital of Ji ＂Nan Military Region,Ji ＇Nan,Shandong,250031,China)

机构地区：[1]济南军区总医院骨病科,250031

出　　处：《中国骨与关节杂志》2018年第7期557-559,共3页Chinese Journal of Bone and Joint

摘　　要：跟骨是跗骨重要组成部分,和前足一起构成足的纵弓,在日常行走中起到重要作用。跟骨肿瘤发病率低,相对于肢体其它部位,跟骨肿瘤可早期出现疼痛、肿胀,特别是侵袭性肿瘤。骨巨细胞瘤（giant cell tumor of bone,GCT）是临床上常见的原发骨肿瘤,约占国人原发性骨肿瘤14%-20%,GCT好发于股骨远端和胫骨近端,占全身各部位GCT的60%-70%,而跟骨GCT发病率极低，Campanacci等吲回顾分析了327例GCT，仅有2例发生在跟骨，发病率仅为0．6％。Objective To explore the treatment and curative effects of calcaneus giant cell tumor. MethodsOne case of calcaneu giant cell tumor was treated in July 2009. Curettage and bone grafting were applied. After 96 months＇ follow-up, no recurrence was found and the functions were good. The retrieval database included Pubmed, Chinese Wanfang database, Chinese knowledge network and VP database. The retrieved documents 1984-2017 were analyzed and discussed. Results After 96 months＇ long-term follow-up, the iliac bone and fibula were basically healed 14 months after the operation. X-ray showed no signs of osteolysis or recurrence. According to the literature, 11 cases of calcaneus giant cell tumor were reviewed, including 18 patients. Conclusions Calcaneus giant cell tumor has its particularity and complexity. As long as we strictly follow the treatment principles and combine the corresponding reconstruction methods, we can also restore limb functions.

关 键 词：跟骨 跗骨 骨巨细胞瘤 

分 类 号：R738.1[医药卫生—肿瘤]