摘要
目的评价四肢骨巨细胞瘤合并病理性骨折采取微波消融治疗术后的临床疗效。方法回顾2007年至2016年间7例四肢骨巨细胞瘤合并病理性骨折的病例进行微波灭活、骨水泥填充内固定术治疗。男1例,女6例,平均年龄31岁,Campanacci分期均为3期。对所有病例进行临床、影像学评估,观察有无复发、转移。以Enneking评分评估下肢功能,MSTS评分评估上肢功能,Cooney评分评估腕关节功能。结果随访时间12~66个月,未见复发及转移,除发生感染的1例外,其余膝关节周围术后Enneking评分平均为28分,上肢腕关节术后MSTS评分为30分,腕关节功能Cooney评分为80分;结论微波消融治疗四肢骨巨细胞瘤合并病理性骨折是一种良好的选择,远期效果有待进一步观察。
Objective To observe the treatment of the extremity long bone giant cell tumors with pathologic fracture by microwave hyperthermia. Methods From 2007 to 2016, 7 cases underwent limb salvage surgery by microwave hyperthermia. There were 1 male and 6 females. The mean age was 31 years. All 7 cases were of Campanacci grade 3. Clinical and radiologic examinations, MSTS scores and Enneking scores were evaluated. ResultsFollow-up ranged from 12 to 66 months. No local recurrence occurred. The mean Enneking score was 28; the MSTS score was 30; the Cooney score was 80. Conclusions Treatment of the extremity long bone giant cell tumors with pathologic fracture by microwave hyperthermia is a useful and reliable procedure, although the long-term follow-up is expected.
作者
柯晋
陈玲玲
陈旭琼
陈辉强
姚孟宇
曾小龙
王鸣
马立敏
张余
KE Jin;CHEN Ling-ling;CHEN Xu-qiong;CHEN Hui -qiang;YAO Meng-yu;ZENG Xiao-long;WANG Ming;MA Li-min;ZHANG Yu.(Department of Orthopedics, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, Guangdong, 510010, China)
出处
《中国骨与关节杂志》
CAS
2018年第5期352-356,共5页
Chinese Journal of Bone and Joint
基金
国家自然科学基金项目(31771038
31700880)
广东省科技计划项目(2012B090500006)
广州市科技计划项目(201604020110
201803010106)
关键词
骨巨细胞瘤
四肢
骨折
微波消融
Giant cell tumor of bone
Extremities
Fractures
bone
Microwave hyperthermia
