|本期目录/Table of Contents|

[1]覃康,朱斌,李世杰,等.髌骨肿瘤外科治疗[J].国际骨科学杂志,2017,02:129-133.
　QIN Kang,ZHU Bin,LI Shijie,et al.Surgical treatment of patellar tumor[J].International Journal of Orthopaedics,2017,02:129-133.
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髌骨肿瘤外科治疗(PDF)

《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:
2017年02期
页码:
129-133
栏目:
临床研究
出版日期:
2017-05-20

文章信息/Info

Title:
Surgical treatment of patellar tumor
作者:
覃康; 朱斌; 李世杰; 程冬冬; 杨庆诚
200233, 上海交通大学附属第六人民医院骨科
Author(s):
QIN Kang;  ZHU Bin;  LI Shijie;  CHENG Dongdong;  YANG Qingcheng
Department of Orthopaedics, the Sixth People’s Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200233, China
关键词:
髌骨肿瘤;  骨巨细胞瘤;  软骨母细胞瘤;  刮除植骨;  髌骨全切除
Keywords:
Patellar tumor;  Giant cell tumor of bone;  Chondroblastoma;  Curettage combined with bone graft;  Patellectomy
分类号:
-
DOI:
10.3969/j.issn.1673-7083.2017.02.015
文献标识码:
-
摘要:
目的 评估髌骨肿瘤外科治疗效果。方法 回顾性分析2010年5月至2015年12月我院收治的15例髌骨肿瘤患者临床资料,其中14例原发性髌骨肿瘤,1例转移性腺癌。原发性髌骨肿瘤中骨巨细胞瘤(GCT)3例(其中合并动脉瘤样骨囊肿1例),软骨母细胞瘤9例(其中合并动脉瘤样骨囊肿7例),纤维组织细胞瘤1例,血管瘤合并动脉瘤样骨囊肿1例; 在所有原发性髌骨肿瘤中Enneking 2期12例,Enneking 3期2例。所有患者中,男7例,女8例; 年龄18～66岁,平均年龄31.7岁; 左侧7例,右侧8例; 因髌骨骨折就诊3例,其余均以前膝疼痛就诊,行髌骨全切除术3例,单纯病灶刮除植骨术10例,病灶刮除植骨内固定术2例。结果 1例(软骨母细胞瘤合并动脉瘤样骨囊肿)失访,14例随访时间6～25个月,平均13.9个月。1例(转移性腺癌)8个月内死亡,其余局部均无复发、转移,膝关节活动度正常,牛津大学膝关节评分(OKS)13～20分,平均15.6分,随访X线检查显示存在不同程度的骨愈合。结论 对于前膝疼痛的患者应早期行X线检查排除髌骨肿瘤,对Enneking 1～2期髌骨良性肿瘤以病灶刮除植骨术为主,对Enneking 3期髌骨良性肿瘤、原发性恶性肿瘤或转移癌则应行髌骨全切除术。
Abstract:
Objective To analyze the outcome of surgical management of patellar tumor.Methods From May 2010 to December 2015,the clinical data of 15 patients with patellar tumors was analyzed retrospectively. Among all of the patients, there were 14 primary patellar

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备注/Memo

备注/Memo:
通信作者: 杨庆诚 E-mail: tjyqc@163.com
更新日期/Last Update: 2017-05-20