膝关节周围骨巨细胞瘤的治疗方式及疗效分析

The Operative Treatment Way and the Efficacy Analysis for Giant Cell Tumor of Bone Around the Knee Joint

目的探讨治疗膝关节周围骨巨细胞瘤的手术方式及疗效。方法膝关节周围骨巨细胞瘤患者48例,根据患者年龄、肿瘤部位及Campanacci分级,选择手术方式,其中行刮除植骨术32例,瘤段切除+人工膝关节置换术16例。结果随访时间1～8年,平均4年,刮除植骨术术后复发3例,复发率为9.4%,瘤段切除+关节置换术无复发者,复发率为0,术后满意度调查:优15例,良26例,差7例,总满意率为85.4%。结论膝关节周围骨巨细胞瘤的外科治疗方法有刮除植骨术,但其复发率高;瘤段切除+人工膝关节置换术复发率较低,但并发症较多。

Objective To investigate the operative treatment way of giant cell tumor of bone around the knee joint, and to analysize their efficacy. Methods 48 cases giant cell tumor of bone around the knee joint patients were collected. The surgical treatment were choiced by the patient＇s age, tumor location and Campanacci grade. Among them ,32 cases patients were done curettage with bone graft and 16 cases patients were done tumor resection ＋ artificial knee replacement. Results The collected patients were followed up for 1 year to 8 years with mean 4 years. 3 eases patients of curettage with bone graft were recurrenced, and the recmxence rate was 9.4%. The recurrence rate of the tumor resection ＋ artificial knee replacement was 0%. All the patients were done with satisfaction survery postoperative ：15 cases were excellented,26 eases were good and 7 cases were poor,total satisfaction rate was 85.4%. Conclusion Curettage with bone graft is basic surgical treatment of giant cell tumor of bone around the knee joint,but it has high recurrence rate. Tumor resection ＋ artificial knee replacement has low recurrence rate,but it has more eomplictions.