| 四肢长骨良性肿瘤并发骨折的手术时机 |
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Received:January 03, 2006
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| 作者 | Author | 单位 | Unit | E-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 |
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| 黄满玉 |
HUANG Man-yu |
上海中医药大学 |
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| 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 |
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| 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 |
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| 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 |
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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 |
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| Operative occasion for the treatment of extremity fractures caused by benign tumors |
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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 |
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| 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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