本文从解剖、病理及临床角度探讨了距骨骨巨细胞瘤及瘤样病损的生物特性及治疗方案。本组对发生在距骨的骨巨细胞瘤２例、骨囊肿１例采用全距骨摘除加异体股骨头植入的方法治疗，随访１～６年，平均３．３年，效果良好，既保存了肢体功能，又解决了复发的问题。 This article from the perspective of anatomy, pathology and clinical perspective of the giant bone cell tumor of the talus and tumor-like lesions of biological characteristics and treatment programs. In this group, 2 cases of giant cell tumor of bone of the talus and 1 case of bone cyst were treated with total talus removal and allogeneic femoral head implantation. The follow-up period was 1 to 6 years with an average of 3.3 years. The results were satisfactory. Physical function also solves the problem of recurrence.