[1]胡永波 黎清斌 劳永锵△.瘤段截除联合腓骨移植重建治疗前臂骨肿瘤23例[J].中国中医骨伤科杂志,2022,30(06):63-67.
　HU Yongbo LI Qingbin LAO Yongqiang.23 Cases Study on Clinical Efficacy of Segmental Resection Combined with Fibula Graft Reconstruction on the Treatment of Forearm Bone Tumors[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(06):63-67.
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瘤段截除联合腓骨移植重建治疗前臂骨肿瘤23例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年06期
页码:
63-67
栏目:
临床报道
出版日期:
2022-06-15

文章信息/Info

Title:
23 Cases Study on Clinical Efficacy of Segmental Resection Combined with Fibula Graft Reconstruction on the Treatment of Forearm Bone Tumors
文章编号:
1005-0205(2022)06-0063-05
作者:
胡永波1 黎清斌1 劳永锵1△
1广东佛山市中医院骨病科(广东 佛山,528000)
Author(s):
HU Yongbo1 LI Qingbin1 LAO Yongqiang1△
1Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong China.
关键词:
骨肿瘤;  瘤段截除;  腓骨移植;  骨重建
Keywords:
bone tumor;  fibular graft;  bone defect;  bone reconstruction
分类号:
R738.1
文献标志码:
B
摘要:
目的:分析瘤段截除联合腓骨移植重建治疗前臂骨肿瘤的临床效果。方法:回顾性分析2013年1月至2020年12月收治的23例前臂骨肿瘤患者病例资料,其中骨巨细胞瘤10例,骨囊肿7例,骨纤维性结构不良5例,内生骨软骨瘤1例。所有患者均行瘤段截除联合腓骨移植重建术治疗,术后随访采用Enneking系统功能评分,用改良肌肉骨骼系统肿瘤学会肢体功能评价表(MSTS评分)评价肢体功能,随访时影像学检查评价骨端愈合情况。结果:术后随访12～32个月,平均(22.06±6.06)个月。4例用带血管蒂腓骨移植,19例用不带血管蒂腓骨移植,移植腓骨长度为6～20 cm,平均(11.32±2.54)cm。所有病例均无内固定位置改变、松动、断裂、移植腓骨缺血性坏死,与受区3～8个月愈合,平均(5.85±1.65)个月。术后6个月MSTS评分为20～30分,平均为(26.87±2.77)分。Enneking评分等级:优16例,良6例,中1例。结论:瘤段截除结合腓骨移植重建治疗前臂骨肿瘤是一种有效的治疗手段。
Abstract:
Objective:To retrospectively analyze the clinical efficacy of tumor segment resection combined with fibula graft reconstruction in treating forearm bone tumor.Methods:The medical data of 23 patients with forearm bone tumor from January 2013 to December 2020 were retrospectively analyzed,including 10 cases of giant cell tumor,7 cases of bone cyst,5 cases of bone fibrous dysplasia,and 1 case of endophytic osteochonchoma.All patients were treated with tumor segment resection combined with fibula graft reconstruction.Enneking system function score and MSTS score were used to evaluate the limb function,and imaging follow-up was used to evaluate the healing of the end of bone.Results:The follow-up time was from 12 to 32 months,with(22.06±6.06)months on average.4 patients were treated with vascularized fibulas,and 19 patients were treated with vascularless fibulas.The length of the fibulas ranged from 6 to 20 cm,with(11.32±2.54)cm on average.In all cases,there was no internal fixation position change,loosening,fracture or ischemic necrosis of the transplanted fibula,and it healed with the recipient area in 3 to 8 months,with(5.85±1.65)months on average.Six months after surgery,the MSTS scores were 20 to 30 points,with(26.87±2.77)points on average.Enneking score:excellent in 16 cases,good in 6 cases,middle in 1 case.Conclusion:Segmental resection combined with fibula graft reconstruction is an effective treatment for forearm bone tumors.

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备注/Memo

备注/Memo:
△通信作者 E-mail:1324295780@qq.com
更新日期/Last Update: 1900-01-01