末节指骨内生软骨瘤11例治疗体会

Experience on Treatment of Phalangette Enchondrosis

目的总结末节指骨内生软骨瘤的特点及治疗方法。方法对我院1998~2009-10间,收治的11例末节指骨内生软骨瘤患者临床资料进行了回顾分析,所有患者均行手术治疗,5例病人采取肿瘤刮除＋植骨;瘤体〉1.0 cm的1例病理骨折取自体髂骨植入,克氏针固定;2例45岁及51岁患者因费用问题选择肿瘤切除;3例行瘤腔刮除未植骨。结果术后全部病理证实为内生软骨瘤,伤口Ⅰ期愈合,随访6个月~5年,未出现复发,行肿瘤直接切除2例,手指末节外观正常,未影响正常生活。结论积极行外科手术治疗是内生软骨瘤的有效治疗手段。

Objective To summarize the characteristics and treatment of phalangette enchondrosis.Methods The clinical materails of 11 cases of such patient were analyzed retropspectively and all cases were performed operation which 5 cases were done with tumor erasion and bone graft and 1 case was fixed with Kirschner wire,2 cases were done tumor resection due to cost problem and 3 cases were done with tumor erasion without graft.Results All cases were obtained diagnosis of enchondrosis with stage I healing and without relapse after 6 months to 5 years follow-up.The aspect of fingers were normal in 2 cases.Conclusion The operative methods might be an effective treatment for this disease.