[1]劳永锵△ 黎清斌 王明爽 梁伟春 胡永波.开窗病灶刮除灭活植骨PFNA内固定治疗股骨近端骨囊肿35例[J].中国中医骨伤科杂志,2017,25(04):52-54.
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开窗病灶刮除灭活植骨PFNA内固定治疗股骨近端骨囊肿35例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年04期
页码:
52-54
栏目:
临床报道
出版日期:
2017-04-06

文章信息/Info

文章编号:
1005-0205(2017)04-0052-03
作者:
劳永锵1△ 黎清斌12 王明爽1 梁伟春1 胡永波1
1.广东佛山市中医院(广东 佛山,528000)
2.广州中医药大学
△.通信作者 E-mail:1324295780@qq.com
关键词:
骨囊肿 股骨近端 病灶刮除 植骨 PFNA内固定术
分类号:
R681.8
文献标志码:
B
摘要:
目的:探讨开窗病灶刮除灭活植骨结合PFNA内固定治疗股骨近端骨囊肿的疗效。方法:回顾性分析2008年12月至2015年12月采用开窗病灶刮除灭活植骨结合PFNA内固定治疗股骨近端骨囊肿患者资料。男23例,女12例; 年龄19~40岁,平均为(24.45±2.50)岁。35例患者中发生病理性骨折20例,囊肿较大10例和疼痛明显5例均有近期发生病理性骨折风险,所有患者均行开窗病灶刮除灭活植骨结合PFNA内固定术,术后随访时采用多伦多保肢评分系统TESS评分评价肢体功能和骨囊肿X线愈合评价系统行骨囊肿影像学评估,以及记录相关并发症的发生情况。结果:本组患者手术时间90~180 min,平均为(120.50±25.80)min,35例患者术后获得1~6年随访,平均为(3.50±0.85)年。骨囊肿X线愈合评价系统:囊肿治愈为28例,缺损治愈为5例,持续存在为2例,囊肿复发为0例。术后1年多伦多保肢评分系统TESS评分80~96分,平均为(90.50±5.50)分。随访期间无一例患者发生感染、伤口不愈合、内固定失效、脱位、断裂等并发症。结论:开窗病灶刮除灭活植骨结合PFNA内固定治疗股骨近端骨囊肿可获得满意疗效。

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更新日期/Last Update: 2017-04-07