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[手部以外部位内生软骨瘤的临床体征及治疗方法]

[Clinical signs and methods of treatment of enchondromas located outside the hand].

作者信息

Drelich Malgorzata, Mazurkiewicz Tomasz, Warda Edward, Kopacz Jacek

机构信息

Katedra i Klinika Ortopedii i Traumatologii Akademii Medycznej im prof F. Skubiszewskiego w Lublinie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 2005;70(5):331-5.

Abstract

160 patients (72 men and 88 women) in the age from 12 to 71 were admitted to Orthopaedic and Traumatology Department Skubiszewski Medical University in Lublin because of enchondromas. In 126 patients chondromas were located in hand, and in 34 remaining patients (21,3%) in: humerus, forearm, femur, tibia, fibula and foot. The typical signs of enchondroma were: pain, little limitation of movement, thickening of tissues or pathological fracture. 31 patients were operated on. Enchondroma was resected with cutterage, the walls of osseus cavity cleaned with reamer and bone loss filled up with bone grafts or bone cement. 1 case of recurrence of chondroma of toe was noted. In one patent malignant change of chondroma of proximal metaphysis of tibia to chondrosarcoma was observed. Lesion resection and filling up the bone defect is the best method of treatment of enchondroma.

摘要

160名年龄在12岁至71岁之间的患者(72名男性和88名女性)因内生软骨瘤入住卢布林斯基比谢夫斯基医科大学骨科与创伤科。126例患者的软骨瘤位于手部,其余34例患者(21.3%)的软骨瘤位于肱骨、前臂、股骨、胫骨、腓骨和足部。内生软骨瘤的典型症状为:疼痛、活动受限轻微、组织增厚或病理性骨折。31例患者接受了手术。采用刮除术切除内生软骨瘤,用扩孔钻清理骨腔壁,并用骨移植或骨水泥填充骨缺损。发现1例脚趾软骨瘤复发。观察到1例患者胫骨近端干骺端软骨瘤恶变为软骨肉瘤。病变切除并填充骨缺损是治疗内生软骨瘤的最佳方法。

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