Sekiya I, Matsui N, Otsuka T, Kobayashi M, Tsuchiya D
Department of Orthopaedic Surgery, Nagoya City University Medical School, Japan.
J Hand Surg Br. 1997 Apr;22(2):230-4. doi: 10.1016/s0266-7681(97)80070-8.
Nine patients with enchondromas in the hand were treated by endoscopic curettage of the tumour without bone grafting. The procedure was performed on an out-patient basis using axillary block anaesthesia. New bone formation and remodelling of the lesions were observed in all patients. There were no postoperative fractures, infections, recurrences or other complications. Functional recovery was rapid. We conclude that endoscopic curettage without bone grafting is an effective treatment of enchondroma in the hand.
9例手部内生软骨瘤患者接受了肿瘤内镜刮除术,未进行植骨。该手术在门诊采用腋路阻滞麻醉进行。所有患者均观察到病变部位有新骨形成和重塑。术后无骨折、感染、复发或其他并发症。功能恢复迅速。我们得出结论,不进行植骨的内镜刮除术是治疗手部内生软骨瘤的有效方法。