软骨母细胞瘤23例临床分析

The cilinical analysis on 23 cases with chondroblastoma

目的:探讨软骨母细胞瘤的诊断特点、治疗方法和临床疗效。方法:对2007年—2011年收治的23例软骨母细胞瘤患者临床资料进行回顾性分析。结果:23例软骨母细胞瘤患者中胫骨上端11例(47.8%),股骨下端8例(34.8%),股骨上端3例(13.0%),肱骨上端1例(4.3%)。给予囊内切除20例,边缘或广泛切除3例。平均随访时间为42.6个月,有1例复发,复发者为囊内切除术后,复发率为4.3%。边缘或广泛切除术后无复发,但患者出现严重的功能障碍。结论:软骨母细胞瘤的发生多见于青少年,手术切除治疗预后良好。

Objective：To investigate the diagnosis characteristics,treatment method and clinical efficacy of chondroblastoma.Methods：The clinical datas of 23 patients with chondroblastoma from 2007 to 2011 were analyzed retrospectively.Results：Twenty-three cases with chondroblastoma in the proximal tibia of 11 patients（47.8%）,distal femur of 8 patients（34.8%）,proximal femur of 3 patients（13.0%）,proximal humerus of 1 case（4.3%）.Give intracapsular resection in 20 cases,marginal or wide excision in 3 cases.The mean follow-up of 42.6 months,with one case of recurrence,recurrence of intracapsular resection,the recurrence rate was 4.3%.Marginal or wide resection without recurrence,but patients with severe functional.Conclusion：The incidence of chondroblastoma is more common in young people,the prognosis after surgical resection is good.