摘要
目的：探讨股骨远端骨巨细胞瘤外科分型及相应手术方案与预后关系。方法回顾性分析1999年1月至2012年1月本院收治的膝关节周围骨巨细胞瘤患者64例临床资料。男37例，女27例，年龄14-72岁，平均33.2岁。其中Campanacci影像学分级Ⅰ级27例，Ⅱ级26例，Ⅲ级11例。接受囊内刮除术患者32例，囊外切除术患者32例。结果本研究中患者均随访77.3个月（23-179个月），复发10例，囊内刮除组患者复发2例，囊外切除组患者复发8例。术后国际骨与软组织肿瘤协会（MSTS）评分，囊内刮除组优良率为93.1%，囊外切除组优良率为74%。结论膝关节周围肿瘤各种手术治疗方案具有相应优缺点，应根据患者具体病情、年龄及预后确定个体化治疗方案。
Objective To investigate the distal femoral bone giant cell tumors surgery classification and corresponding operation relationship with prognosis. Method Retrospectively analyzed from January 1999 to January 2012 in our hospital treated patients with giant cell tumor around the knee joint of 64 cases of clinical data. 37 cases of male, 27 cases of female, aged 14 - 72, the average age was 33.2 years. Including Campanacci imaging classⅠlevel 27 cases,Ⅱlevel 26 cases,Ⅲlevel 11 cases, 32 patients accepted cyst shave their, 32 patients accepted extracapsular resection. Result Patients were followed up for 77.3 months （23-179 months）, 10 cases of recurrence, the cyst shave their group of 2 cases of patients with recurrence, 8 case of recurrence in patients with extracapsular resection group. After the international association of bone and soft tissue tumor （MSTS） score, cyst shave their group was 93.1%, extracapsular resection group was 74%. Conclusion Surgical treatment has its advantages and disadvantages of various tumor around the knee joint, shall be determined individualized treatment plan according to the speciifc condition, age, and prognosis of patients.
出处
《中国医学前沿杂志（电子版）》
2014年第9期85-87,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
骨巨细胞瘤
囊内刮除术
囊外切除术
膝关节
预后
Giant cell tumor of bone
Cyst shave their
Extracapsular resection
Knee joint
Prognosis
