四肢骨软骨瘤的临床常见并发症及其相关治疗(附4例典型病例).pdfVIP

. . 中国骨肿瘤骨病2011年８月第10卷第４期 Chin J Bone Tumor Bone Disease, August 2011, Vol 10, No.4 327 . . 临床论著 四肢骨软骨瘤的临床常见并发症及其相关治疗 (附４例典型病例) 朱翔　董扬 作者单位：200233，上海交通大学医学院附属第六人民医院骨科 通讯作者：董扬 【摘要】　目的　探讨四肢骨软骨瘤的临床常见并发症及手术治疗方法。方法　 回顾性分析我院从2002年 至2010年收治的40例出现临床并发症的四肢骨软骨瘤，主要并发症包括：血管、神经损伤，关节畸形，恶变。 患者中，男性24例，女性16例，年龄5～66岁(平均24.6岁)。所有患者均行术前Ｘ线及CT检查；均行手术治疗， 24例行单纯肿瘤切除，３例行肿瘤切除自体髂骨移植，２例行肿瘤切除上胫腓关节重建，４例行肿瘤切除尺桡 骨Ilizarov外固定延长术，４例因发生恶变行截肢术。结果　所有病例得到随访，随访4-24个月(平均随访16.7个 月)，２例患者出现复发，总体复发率5%，其余患者原有神经受压症状消失，前臂短缩畸形得到纠正，肢体功 能满意。结论　骨软骨瘤并发症临床较少见，表现特殊，极大影响四肢的功能。手术能去除或缓解并发症，术 中注意相邻组织的保护，保持或重建邻近关节的稳定性，特别是对于青少年。 【关键词】　四肢；骨软骨瘤；并发症；治疗 doi:10.3969/j.issn.1671-1971.2011.04.001 Clinical complications and related treatment of osteochondroma in limbs (afflicating with 4 typical cases) ZHU Xiang, DONG Yang. Department of Orthopaedics, Sixth People’s Hospital, Shanghai Jiaotong University, Shanghai, 200233, PRC Abstract Objective To probe the clinical complications and strategies for the treatment of osteochondromas 【 】 in limbs. Methods A total of 40 cases of osteochondromas with different complications including injuries of vascular and nerve and deformity and malignancy of joint were analyzed retrospective1y with the year from 2002 to 2010 in our hospital. There were 24 males and 16 females with the average age of 24.6 years old (range; 5-66 years). All patients were subjected to X-ray and CT scan examinations before surgeries. Simple tumor excisions were performed on 24 patients. Tumor excisions and allograft grafting were on 3 p