摘要
目的分析软骨母细胞瘤特点、治疗方法和预后因素。方法1993年～2005年手术治疗软骨母细胞瘤65例。男49例,女16例。平均年龄18岁(9～30岁),10～20岁年龄组共47例(占72%)。发病部位为胫骨上端21例(32%)、股骨下端15例(23%)、股骨上端11例(17%)、肱骨上端7例(11%)、跟骨、距骨和骨盆各3例、髌骨2例。行囊内切除56例,边缘或广泛切除9例。结果平均随访69.6个月(24～144个月)。有2例复发,均为囊内切除,复发率为3.6%。边缘或广泛切除无复发,但有严重的功能障碍。结论软骨母细胞瘤好发于青少年,刮除植骨可以达到满意疗效。
Objective To analyze the features, treatments and prognosis of chondroblastoma. Methods Between 1993 and 2005, 65 patients with chondroblastoma were treated in orthopedic oncology department, Beijing Jishuitan Hospital. Patients were aged from 9 to 30 years with an average age of 18. Among them, 72% （47/65） were in the age group of 10-20; 49 were men and 16 were women （male/female=3.3：1）. Tumors were located at proximal tibia in 21 （32%） patients; distal femurs in 15（23%）; proximal femurs in 11 （17%）, proximal humors in 7 （11%）, patella in 2, calcaneus, talus and pelvis each in 3. Fifty-six patients underwent intracapsular resection of the tumor. The other 9 patients underwent either marginal or wide resection. Results Patients were followed up for the mean duration of 69.6 months （ranging 24 - 144 months）. Two patients reported recurrence, and underwent intracapsular resection. The recurrence rate of curettage and bone grafting was 3.6%. Patients who underwent marginal or wide resection reported no recurrence, but the limb dysfunction was severe. Conclusions Chondroblastoma commonly happened in adolescent. The results of curettage and bone grafting were satisfactory.
出处
《中国骨肿瘤骨病》
2008年第4期208-210,共3页
Chinse Journal Of Bone Tumor And Bone Disease
关键词
软骨母细胞瘤
诊断
治疗
Chondroblastoma
Diagnosis
Treatment
