CAJ | 학술논문

目的总结成软骨细胞瘤的临床诊断要点和治疗经验.方法回顾性分析1992年6月至2003年2月经病理证实的成软骨细胞瘤16例患者的临床资料.肿瘤部位:股骨下端6例,股骨大粗隆1例,胫骨上端6例,肱骨上端2例,距骨1例.主要症状为关节肿胀、疼痛.16例均经手术治疗.手术方式为彻底刮除病灶+自体髂骨植骨.结果 12例患者获得随访,随访时间6个月至5年(平均3.5年),植骨全部融合.1例术后2年复发,行再次刮除植骨,随访6个月未再复发.关节功能除1例股骨远端患者膝关节屈曲稍受限外余全部正常.结论掌握成软骨细胞瘤的临床特点及影像学特征,有助于减少误诊,正确治疗.手术彻底刮除可达到满意的局部控制.术后经过康复锻炼,病变肢体可获得满意的功能结果.
목적 총결성연골세포류적림상진단요점화치료경험.방법 회고성분석1992년6월지2003년2월경병리증실적성연골세포류16례환자적림상자료.종류부위:고골하단6례,고골대조륭1례,경골상단6례,굉골상단2례,거골1례.주요증상위관절종창、동통.16례균경수술치료.수술방식위철저괄제병조+자체가골식골.결과 12례환자획득수방,수방시간6개월지5년(평균3.5년),식골전부융합.1례술후2년복발,행재차괄제식골,수방6개월미재복발.관절공능제1례고골원단환자슬관절굴곡초수한외여전부정상.결론 장악성연골세포류적림상특점급영상학특정,유조우감소오진,정학치료.수술철저괄제가체도만의적국부공제.술후경과강복단련,병변지체가획득만의적공능결과.
Objective To summarize the keypoints of clinical diagnosis of chondroblastoma and the experience on the treatment Methods The clinical materials of 16 cases(11 males,aged from 12 to 26 years)from June 1992 to February 2003 of pathologically diagnosed chondroblastoma were analyzed retrospectively. The tumor located at distal femur in 6 cases,great trochanter in 1 case,proximal tibia in 6 cases,proximal humerus in 2 cases, talus in 1 case. The main symptoms were swelling and painful joint. All the 16 cases were treated with curettage and autologous bone graft from iliac crest. Results Twelve cases were followed up for 6 months to 5 years .averaging 3. S years. All the bone graft healed well. One case., recurred 2 years after the initial curettage and was treated with curettage again. No recurrence occurred at the last follow-up 6 months after the second curettage. The function of the involved joints was nearly normal in all cases except for one case with slight limitation of knee flexion. Conclusions Mastering the image and clinical characteristics of chondroblastoma can avoid misdiagnosis and mistreatment Curettage can control the tumor satisfactorily. Postoperative rehabilitation can improve the function of the involved limb.