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ID:39947706
大小:2.75 MB
页数:5页
时间:2019-07-15
《同种异体骨植骨联合锁定加压钢板治疗四肢良性骨肿瘤及类瘤病变的随访研究》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、同种异体骨植骨联合锁定加压钢板治疗四肢良性骨肿瘤及类瘤病变的随访研究张泽华,张帅,罗飞,王嘉嘉,谢肇,马树枝,许建中,王序全(400038重庆,第三军医大学西南医院骨科)[摘要]目的探讨同种异体骨植骨联合锁定加压钢板治疗四肢良性骨肿瘤的临床疗效和安全性。方法总结2005年3月至2011年3月我科收治的56例接受同种异体骨植骨联合锁定加压钢板手术治疗的四肢良性骨肿瘤患者病例。其中男31例,女25例,年龄10~61岁,平均38.7±3.6岁;疾病类型:单纯骨囊肿16例,骨纤维结构不良15例,动脉瘤样骨囊肿10例,骨巨细胞瘤9例,骨母细胞瘤3例,嗜酸性肉芽肿3例
2、,其中合并病理性骨折36例,均行病灶刮除、同种异体骨植骨、锁定加压钢板内固定治疗,观察植骨量、有无免疫排斥反应、植骨愈合情况、愈合时间、病灶有无复发等。结果本组病例植骨量为(23.5±10.3)g,随访时间(25.5±12.3)(12~60)个月,5人失访。2例骨巨细胞瘤复发,余49例均获治愈,4例出现排异反应,平均骨愈合时间为6月,术后1年根据骨骼愈合情况取出内固定,未出现骨不连及再骨折情况。结论同种异体骨促进成骨、修复骨缺损效果确切,排异反应发生率低,在彻底刮除病变的前提下,与锁定加压钢板联合应用可有效治疗四肢长骨良性骨肿瘤及类瘤病变。[关键词]同种异
3、体骨;锁定加压钢板;良性骨肿瘤;类瘤病变TreatmentofBenignBoneTumorsandTumor-likeLesionsinExtremitiesUsingAllograftBoneandLockedCompressionPlateZhangZehua,ZhangShuai,LuoFei,WangJiajia,XieZhao,MaShuzhi,XuJianzhong,WangXuquan(DepartmentofOrthopaedics,SouthwestHospital,TheThirdMilitaryMedicalUniversity,C
4、hongQing,China,400038)[Abstract]ObjectiveTodeterminetheclinicalefficacyandsaftyofallograftboneandlockingcompressionplateinthetreatmentofbenignbonetumorsandtumor-likelesionsinextremities.MethodsBetweenMar2005andMar2011,56patientsinourunitunderwentradicalcurettage,allograftbonetrans
5、plantationandlockedcompressionplatefixationforbenignbonetumorsandumor-likelesionswerereviewed,therewere31maleand25femalepatientswithameanageof38.7±3.6years(range10to61years).Thetypesofprimarytumorinthesepatientswere:16patientswithbonecyst,15patientswithbonefibrousdysplasis,10patie
6、ntswithaneurysmalbonecyst,9patientswithbonegiantcelltumor,3patientswithosteoblastoma,3witheosinophilicgranulomatosis.Pathologicalfractureoccurredin36patients.Thevolumeofallograftbone,immunologicalrejection,bonereconstruction,tumorrecurrencewereconcerned.ResultsThemedianbonemasswer
7、e23.5±10.3g,themeanfollowupdurationwas25.5±12.3months(range,12-60month),5patientswerelostforfollowup.Nopatientshadincorrectreductionoffracture,looseningandruptureofinternalfixation,4patientshadcomplicationsasimmunologicalrejection,2patientshadrecurrenceofbonegiantcelltumor.Themedi
8、anperiodsofbonehealingwere6months
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