CAJ | 학술논문

目的探讨股骨远端骨巨细胞瘤部分边缘外肿瘤切除＋关节面下刮除＋自体骨植骨钢板内固定术治疗股骨远端骨巨细胞瘤的临床疗效。方法选择2010年6月-2012年6月收治的13例股骨远端骨巨细胞瘤患者，均行部分边缘外肿瘤切除＋关节面下刮除＋自体骨植骨钢板内固定术。采用膝关节Bristol评分评估术后膝关节功能，并随访影像学资料评估是否复发。结果13例患者均顺利完成手术，且术后均获得随访，随访时间0．5～2．5 a，中位随访2 a。随访期间均未发现复发，Bristol膝关节评分：术后6个月为（39．1±5．5）分，术后1 a为（42．4±2．8）分，术后2 a为（43．6±3．3）分。结论部分边缘外肿瘤切除＋关节面下刮除＋自体骨植骨钢板内固定术是治疗股骨远端良性肿瘤的一种有效的手术方法。
목적탐토고골원단골거세포류부분변연외종류절제＋관절면하괄제＋자체골식골강판내고정술치료고골원단골거세포류적림상료효。방법선택2010년6월-2012년6월수치적13례고골원단골거세포류환자，균행부분변연외종류절제＋관절면하괄제＋자체골식골강판내고정술。채용슬관절Bristol평분평고술후슬관절공능，병수방영상학자료평고시부복발。결과13례환자균순리완성수술，차술후균획득수방，수방시간0．5～2．5 a，중위수방2 a。수방기간균미발현복발，Bristol슬관절평분：술후6개월위（39．1±5．5）분，술후1 a위（42．4±2．8）분，술후2 a위（43．6±3．3）분。결론부분변연외종류절제＋관절면하괄제＋자체골식골강판내고정술시치료고골원단량성종류적일충유효적수술방법。
Objective To investigate the clinical effectiveness of the treatment of partly wide resection combined with curettage,autogenous bone graft and internal fixation on gaint cell tumor located in distal femo-ral.Methods Retrospectively collected thirteen cases of gaint cell tumors located in distal femoralfrom June 2 0 1 0 to June 2 0 1 2 .Partly wide resection combined with curettage,autogenous bone graft and internal fixation was applied for all the patients.Postoperation knee joint function was evaluated according to the Bristol scoring system.Imaging data was used to assess recurrence during follow-up.Results The effect of surgery was good. All patients received 0 .5-2 .5 years follow-up and median follow-up was 2 years.Recurrence was not foundin all patients during the followed-up.Bristol scoring showed that the score for 6 months after surgery was (3 9 .1 ± 5 .5 )and score for 1 year after surgery was (4 2 .4 ± 2 .8 )and score for 2 years after surgery was (4 3 .6 ± 3 .3 ). Conclusion Partly wide resection combined with curettage,autogenous bone graft and internal fixation is an effective surgical method to treat gaint cell tumor in distal femoral.