高明暄;李旭升;付晓燕;陈彦飞;赵锟;常彦峰;李生贵;邵宏斌;

• 1:兰州军区兰州总医院
• 2:甘肃定西安定区西巩中心卫生院

摘要(Abstract)：

[目的]评价带血供游离腓骨移植重建股骨近端侵袭性良性溶骨性病变所致骨缺损的临床疗效。[方法]总结自2008年4月~2013年3月收治股骨近端良性侵袭性肿瘤或肿瘤样病变共14例,采用病灶内扩大刮除、氯化锌烧灼瘤壁,吻合血管腓骨移植,支持钢板内固定等方法手术治疗,影像学随访评价病变转归、植骨愈合;采用改良肌肉骨髂系统肿瘤学会(Musculoskeletal Tumor Society,MSTS)肢体功能评价表随访肿瘤切除术后患者肢体功能。[结果]随访18~67个月,平均(35.71±15.80)个月。其中1例骨巨细胞瘤患者于术后12个月复发。其余13例患者随访期间均未见病变复发表现,钢板固定无松动、断裂,无术后病理性骨折,未见股骨头缺血性坏死等其他并发症。移植腓骨无缺血坏死表现、与受区2~7个月骨性愈合,平均愈合时间(4.54±1.27)个月。术后3、6个月MSTS功能评分依次为(25.57±4.27),(27.07±6.53)分。[结论]病灶刮除,氯化锌烧灼瘤壁,吻合血管腓骨移植填充重建,结合支持钢板内固定是股骨近端侵袭性良性肿瘤及瘤样病变的有效外科治疗方法。中期随访表现为病变复发率低,破坏骨结构得以重建,髋关节功能良好。

关键词(KeyWords)： 游离带血供腓骨;侵袭性良性骨肿瘤;瘤样病变;病灶刮除;氯化锌;股骨近端

Abstract:

Keywords:

基金项目(Foundation): 甘肃省自然科学基金面上项目(编号:1308RJZA210);; 中国博士后科学基金面上项目(编号:2013M542571)

作者(Author): 高明暄;李旭升;付晓燕;陈彦飞;赵锟;常彦峰;李生贵;邵宏斌;

Email:

DOI:

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