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四肢长骨良性肿瘤并发骨折的手术时机
Hits: 2176   Download times: 1318   Received:January 03, 2006    
作者Author单位UnitE-Mail
李东升 LI Dong-sheng 洛阳正骨医院骨肿瘤科,河南洛阳471002 Department of Bone Tumor,Orthopaedics Hospital of Luoyang,Luoyang 471002,Henan,China luoyanglds@163.com 
张志勇 ZHANG Zhi-yong 洛阳正骨医院骨肿瘤科,河南洛阳471002 Department of Bone Tumor,Orthopaedics Hospital of Luoyang,Luoyang 471002,Henan,China  
黄满玉 HUANG Man-yu 上海中医药大学  
冯峰 FENG Feng 洛阳正骨医院骨肿瘤科,河南洛阳471002 Department of Bone Tumor,Orthopaedics Hospital of Luoyang,Luoyang 471002,Henan,China  
古建立 GU Jian-li 洛阳正骨医院骨肿瘤科,河南洛阳471002 Department of Bone Tumor,Orthopaedics Hospital of Luoyang,Luoyang 471002,Henan,China  
期刊信息:《中国骨伤》2006年19卷,第7期,第401-402页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨四肢长骨良性肿瘤并发骨折的手术时机。

方法:回顾性分析25例四肢长骨良性肿瘤并发骨折患者,其中骨囊肿11例,骨纤维异常增殖症5例,嗜酸性肉芽肿3例,动脉瘤样骨囊肿2例,内生软骨瘤2例,非骨化性纤维瘤1例,骨化性纤维瘤1例。采用Ⅰ期外固定、Ⅱ期肿瘤刮除植骨术13例,Ⅰ期肿瘤清除植骨内固定术12例。

结果:随访时间12~88个月,术后感染1例,复发3例,再骨折2例。

结论:对于良性肿瘤或类肿瘤疾病发生病理性骨折应优先选择Ⅰ期外固定、Ⅱ期行肿瘤病灶清除植骨术;骨质破坏较轻者可选择Ⅰ期肿瘤病灶清除植骨内固定术。
[关键词]:良性肿瘤  骨折  外科手术
 
Operative occasion for the treatment of extremity fractures caused by benign tumors
Abstract:

Objective:To explore the operative occasion for the treatment of extremity fracture caused by benign tumor.

Methods:Twenty-five cases with extremity fracture caused by benign tumor were retrospectively analyzed in the study.bone cyst,fibrous dysplasia,eosinophilic granuloma,aneurysmal bone cyst,enchondroma,non-ossifying fibroma and ossifying fibroma were 11,5,3,2,2,1 respectively.13 cases were treated with external fixation in stage Ⅰ and with bone transplantation(after tumor resection) in stage Ⅱ.All the treatment(tumor resection,bone transplantation and internal fixation) were completed in the stage Ⅰ in 12 cases.

Results:All the patients were followed up from 12 to 88 months and infection occurred in 1 case,local tumor recurrence in 3 and refracture in 2 after operation.

Conclusion:External fixation in stage Ⅰ and bone transplantation(after tumor resection) in stage Ⅱ is the first selection for preceding fractures.External fixation and bone transplantation can be used at the same time if bone destruction was not very serions.
KEYWORDS:Benign tumor  Fractures  Surgical procedures,operative
 
引用本文,请按以下格式著录参考文献:
中文格式:李东升,张志勇,黄满玉,冯峰,古建立.四肢长骨良性肿瘤并发骨折的手术时机[J].中国骨伤,2006,19(7):401~402
英文格式:LI Dong-sheng,ZHANG Zhi-yong,HUANG Man-yu,FENG Feng,GU Jian-li.Operative occasion for the treatment of extremity fractures caused by benign tumors[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(7):401~402
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