| 70例手指腱鞘巨细胞瘤的临床诊断与治疗 |
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Received:July 25, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张小军 |
ZHANG Xiao-jun |
铜川市人民医院,陕西 铜川 727000 |
Department of Orthopaedic, People's hospital of Tong chuan, Tongchuan 72700, Shaanxi, China |
zhangxiaoj2266@sina.com |
| 裴东红 |
PEI Dong-hong |
榆林市第一人民医院骨二科,陕西 榆林 718000 |
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| 习勇 |
XI Yong |
铜川市人民医院,陕西 铜川 727000 |
Department of Orthopaedic, People's hospital of Tong chuan, Tongchuan 72700, Shaanxi, China |
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| 王海贤 |
WANG Hai-xian |
铜川市人民医院,陕西 铜川 727000 |
Department of Orthopaedic, People's hospital of Tong chuan, Tongchuan 72700, Shaanxi, China |
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| 王玉 |
WANG Yu |
铜川市人民医院,陕西 铜川 727000 |
Department of Orthopaedic, People's hospital of Tong chuan, Tongchuan 72700, Shaanxi, China |
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| 期刊信息：《中国骨伤》2012年25卷，第12期，第1024-1026页 |
| DOI：10.3969/j.issn.1003-0034.2012.12.013 |
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目的：分析手指腱鞘巨细胞瘤的手术治疗方法及效果。
方法：自2002年7月至2010年12月,对70例经手术和病理确诊为手指腱鞘巨细胞瘤的患者的临床资料进行回顾性分析,其中男29例,女41例;年龄16～61岁,平均42岁;病程4个月～6年,平均11月。观察手指腱鞘巨细胞瘤的手术、麻醉方法。
结果：术后伤口均Ⅰ期愈合,无明显坏死病例。其中术后发生血管危象者6例,占8.6%.手指腱鞘巨细胞瘤术前术后诊断不一致者18例,占25.7%,术中因肿瘤情况改换麻醉17例,占24.3%;经随访2.2年～10.5年,8例复发,占11.4%,经第二次手术确诊为同一性质,未见恶变病例。
结论：手指腱鞘巨细胞瘤手术麻醉选择尽可能选择臂丛麻醉,以便充分显露、彻底切除与减少副损伤,手术治疗力争一期囊外彻底切除,术后后应积极随访,对于复发病例可二次手术治疗。 |
| [关键词]:骨囊肿 巨细胞瘤,骨 诊断 治疗 |
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| Clinical diagnosis and treatment of giant cell tumor of tendon sheath in finger(70 cases report) |
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Abstract:
Objective:To investigate surgical methods and therapeutic effects of giant cell tumor of tendon sheath in finger.
Methods:From July 2002 to December 2010,70 patients with giant cell tumor of tendon sheath in finger which confirmed by operation and pathology,were retrospectively analyzed. There were 29 males,41 females with an average of 42 years (ranged,16 to 61),and the course of disease ranged form 4 months to 6 years(mean 11 months). The method of surgery and anesthesia were observed.
Results:All wounds were got stage I healing,no necrosis occurred. Vascular crisis occurred in 6 cases(8.6%),inconformity of diagnosis in 18 cases(25.7%),changing of anesthesia due to situation of tumor in operation in 17 cases(24.3%). The patients were followed up from 2.2 to 10.5 years. Among them,8 cases (11.4%) recurred,and diagnosied by the second operation without malignant change.
Conclusion:The best anesthesia for giant cell tumor in finger should choose brachial plexus to fully expose,complete resection and less harmful damage; while the operation should complete resection at the stage I,and followed up actively,the second operation can be carried out for recorrenced. |
| KEYWORDS:Bone cysts Giant cell tumor of bone Diagnosis Therapy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张小军,裴东红,习勇,王海贤,王玉.70例手指腱鞘巨细胞瘤的临床诊断与治疗[J].中国骨伤,2012,25(12):1024~1026 |
| 英文格式: | ZHANG Xiao-jun,PEI Dong-hong,XI Yong,WANG Hai-xian,WANG Yu.Clinical diagnosis and treatment of giant cell tumor of tendon sheath in finger(70 cases report)[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(12):1024~1026 |
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