关节镜微创切除术治疗良性骨肿瘤的临床疗效

Clinical Efficacy of Arthroscopic Minimally Invasive Resection on Benign Bone Tumors

目的:探讨关节镜微创切除术治疗良性骨肿瘤的临床疗效。方法:选取我院2013年10月~2016年6月收治的良性骨肿瘤患者43例为研究对象,均采取关节镜监视下微创切除术治疗,记录患者手术完成情况、VAS疼痛评分及治疗效果。结果:43例患者均顺利完成手术,平均手术时间(28.9±4.1)min,切口长度<1.5 cm,入路切口≤3个,术后X线检查显示患者病灶彻底切除。术后12个月内未出现骨肿瘤复发、转移患者。VAS评分比较:手术前>术后1周>术后6个月>术后12个月(P均<0.05);术后6个月及12个月时,患者疗效优良率分别为81.4%和90.7%。结论:关节镜微创切除术治疗良性骨肿瘤,手术操作简单、创伤小、病灶切除彻底,可显著减小患者疼痛程度,临床疗效确切,安全可行。

Objective： To investigate the clinical efficacy of arthroscopic minimally invasive resection on benign bone tumors. Methods： Forty-three patients with benign bone tumors admitted to our hospital from October 2013 to June 2016 were selected for the study and were treated with minimally invasive resection under arthroscopic surveillance. The operation completion conditions,VAS pain score and treatment effect were recorded. Results： In this study,all 43 patients successfully completed the operation,and the average operative time was（ 28. 9 ± 4. 1） min; incision length was less than 1. 5 cm; the number of incision approach was less than 3; the postoperative X-ray examination showed complete resection of the lesion. There was no patient with recurrence or metastasis of bone tumors within 12 months after operation.The VAS score comparison： before operation 〉at 1 week after operation 〉at 6 months after operation 〉at 12 months after operation（ P〈0. 05）. The excellent and good rates of efficacy were 81. 4% and 90. 7% respectively at 6 months and 12 months after operation. Conclusion： Arthroscopic minimally invasive resection for benign bone tumors can significantly reduce the patient＇s pain degree with simple surgical operation,small trauma and complete removal of the lesions,and it has exact clinical efficacy. therefore,it is safe and feasible.