肿瘤病灶切除、钢板内固定治疗胫骨骨母细胞瘤的疗效观察

Observation of Curative Effect of Lesion Scraping, Plate Internal Fixation on Osteoblastoma

目的:观察肿瘤病灶切除、钢板内固定术治疗胫骨骨母细胞瘤的临床疗效。方法:选取我院胫骨骨母细胞瘤患者3例作为研究对象,对所有研究对象进行肿瘤病灶切除、钢板内固定术治疗,术前及术后观察影像学资料、术后肌力恢复、下地活动时间、复发率、恶变率情况,验证肿瘤病灶切除、钢板内固定手术对胫骨骨母细胞瘤患者的优良率情况。结果:术后我们对患者进行了3年随访,从影像学方面观察到肿瘤病灶部位未见肿瘤复发情况,钢板内固定物位置良好,无钢板内固定物移位、断裂等情况发生,同时我们发现在术后1月时患者的肌力达到术前肌力相似水平,可适当下地活动,术后3月时患者能完全负重下地活动,同时,所有手术患者中随访3年,未发现骨母细胞瘤术后恶变情况,均恢复良好,优良率达到100%。结论:肿瘤病灶切除、钢板内固定术治疗胫骨骨母细胞瘤具有明显地临床效果,患者术后肌力恢复较快,同时明显地降低了患者术后的复发率及恶变率,具有很好地优良率,能够很好地改善患者生活质量,具有良好的社会及经济利益,值得应用及推广。

Objective: To observe the clinical efficacy of tumor resection and plate internal fixation in the treatment of tibial osteoblastoma. Methods: Three patients with tibial osteoblastoma in our hospital were selected as the research subjects. All subjects were treated with tumor lesion resection and plate internal fixation. Observe the preoperative and postoperative imaging data, postoperative muscle strength recovery, time spent on the ground, recurrence rate, and malignant transformation rate to verify the excellent and good rate of tumor resection and plate internal fixation for patients with tibial osteoblastoma. Results: After the operation, we followed up the patients for 3 years. From the imaging aspect, we observed that there was no tumor recurrence at the tumor site, the steel plate fixation was in good position, and there was no displacement or breakage of the steel plate fixation. At the same time, we found that the patient’s muscle strength reached the same level as the preoperative muscle strength at 1 month after surgery, and the patient was able to move under full weight at 3 months after surgery. At the same time, all surgical patients were followed up for 3 years, and no malignant transformation of osteoblastoma was found after surgery, and all recovered well, and the excellent and good rate reached 100%. Conclusion: Tumor lesion resection and plate internal fixation have obvious clinical effects in the treatment of tibial osteoblastoma. The patient’s muscle strength recovers quickly after surgery, and at the same time, the postoperative recurrence rate and malignant transformation rate of the patient are significantly reduced, with a good excellent rate, which can improve the quality of life of patients, has good social and economic benefits, and is worthy of application and promotion.