不同骨移植术用于手部内生软骨瘤的疗效及并发症观察

Observation on the Efficacy and Complications of Different Bone Transplantation Techniques for Endochondroma of the Hand

【目的】探讨不同骨移植术用于手部内生软骨瘤的疗效及并发症发生情况。【方法】选取2018年5月至2021年5月空军军医大学第二附属医院收治的80例手部内生软骨瘤患者,按照随机数字表法分为观察组和对照组,每组40例。观察组采用同侧桡骨远端桡背侧取骨加病灶刮除植骨术治疗,对照组采用自体同侧髂骨取骨加病灶刮除植骨术治疗。比较两组优良率、手术时间、住院时间、住院费用、手功能评分及供区并发症发生率。【结果】观察组优良率为90.00%,显著高于对照组的70.00%(P<0.05);观察组手术时间、住院时间及住院费用均显著少于对照组(P<0.05);观察组活动度、感觉、外观、工作能力评分及总评分均显著高于对照组(P<0.05);观察组供区并发症发生率为7.50%,显著低于对照组的25.00%,差异有统计学意义(P<0.05)。【结论】自体同侧桡骨远端桡背侧取骨加病灶刮除植骨术治疗手部内生软骨瘤具有操作简便、经济等优势,是一种疗效确切的治疗方式。

【Objective】To explore the efficacy and incidence of complications of different bone transplantation techniques for hand enchondroma.【Methods】A total of 80 patients with hand enchondroma admitted to the Second Affiliated Hospital of Air Force Military Medical University from May 2018 to May 2021 were selected and divided into the observation group and the control group according to a random number table method,with 40 patients in each group.The observation group underwent ipsilateral distal and dorsal radial bone harvesting with lesion scraping and bone grafting,while the control group received autologous ipsilateral iliac bone harvesting.Treatment efficacy,surgical time,hospital stay,hospitalization costs,hand function scores,and donor site complications were compared between the two groups.【Results】The excellent and good rate of the observation group was 90.00%,which was significantly higher than the 70.00%of the control group(P<0.05).The surgical time,hospitalization time,and hospitalization expenses in the observation group were significantly lower than those in the control group(P<0.05).The activity,sensation,appearance,work ability,and total score of the observation group were significantly higher than those of the control group(P<0.05).The incidence of donor site complications in the observation group was 7.50%,which was significantly lower than the 25.00%in the control group(P<0.05).【Conclusion】Autologous ipsilateral distal and dorsal radial bone extraction for hand enchondroma has advantages over iliac bone extraction in terms of simplicity and economy,which makes it a highly effective treatment method.