经腓骨前入路在胫骨远端非骨化性纤维瘤手术中的应用研究  

A study on the application of trans-fibular anterior surgical approach for non-ossifying fibroma of the distal tibia

作　　者：路俊然 陈挺[2] 张赫 李佳桐 商冠宁 Junran Lu;Ting Chen;He Zhang;Jiatong Li;Guanning Shang(Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China;Department of Orthopedics,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]辽宁中医药大学,辽宁省沈阳市110000 [2]中国医科大学附属盛京医院骨科

出　　处：《中国肿瘤临床》2023年第17期893-896,共4页Chinese Journal of Clinical Oncology

基　　金：沈阳市科技计划项目(编号:21-173-9-74);盛京345人才工程项目(编号:M1378);盛京345人才工程项目(编号:M1367)资助。

摘　　要：目的:探讨经腓骨前入路在胫骨远端非骨化性纤维瘤(non-ossifying fibroma,NOF)手术中的临床疗效。方法:回顾性分析2021年1月至2022年8月于中国医科大学附属盛京医院采用经腓骨前侧入路治疗胫骨远端NOF 19例患者的临床资料,统计手术时间及术中失血量,术后使用疼痛评分及踝关节功能评分,评价术后患肢功能。结果:19例患者均由同一位医师使用经腓骨前入路完成手术,手术时间(59.2±16.8)min,术中失血量(33.7±25.6)m L,术后疼痛视觉模拟评分(0.5±0.6)分,术后踝关节功能评分(98.4±3.7)分。结论:经腓骨前入路治疗胫骨远端NOF,操作简便、手术时长短、术中失血少,神经损伤风险低,是一种安全有效的术式。Objective:To examine the clinical efficacy of the trans-fibular anterior surgical approach for non-ossifying fibroma(NOF)of the distal tibia.Methods:A retrospective analysis was conducted on the clinical data of 19 patients with NOF of the distal tibia that were treated through the anterior fibular approach from January 2021 to August 2022 at Shengjing Hospital of China Medical University.The surgical time and intraoperative blood loss were calculated,and postoperative limb function was evaluated using scores for pain and ankle joint function.Results:All 19 patients underwent surgical resection using a trans-fibular anterior approach by the same surgeon,with an operation time of(59.2±16.8)min,intraoperative blood loss of(33.7±25.6)mL,postoperative visual analog scale score of 0.5±0.6,and postoperative ankle function score of 98.4±3.7.Conclusions:The treatment of NOF of the distal tibia through the trans-fibular anterior approach is a safe and effective surgical method with a simple surgical technique,short duration,minimal intraoperative blood loss,and low risk of nerve injury.

关 键 词：非骨化性纤维瘤 胫骨远端肿瘤 手术入路 腓骨前入路 腓浅神经 

分 类 号：R738.1[医药卫生—肿瘤]