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股骨近端的良性骨肿瘤和瘤样病变并不少见,其病变亦多种多样,术前术后均易发生各种并发症。本文统计分析了我所1983年7月~1993年10月收治的49例股骨近端良性骨肿瘤和瘤样病变的病人,所有病人均经手术治疗,术后病理诊断。本组病人采用病变刮除,50%氯化锌烧灼,皮质骨和/或松质骨植骨的方法治疗。不同的植骨方法对病变的预后有不同的影响,皮质骨植骨有助于防止术后髋内翻和病理骨折的发生。对于病变累及股骨头的病人,其病变较大可能发生股骨头无菌坏死,用单纯病变刮除,50%氯化锌烧灼加植骨的方法难以奏效,需用更彻底的方法去除病变和功能重建,如人工股骨头置换。
The benign bone tumors and tumor-like lesions in the proximal femur are not uncommon, and the lesions are also varied, and various complications are prone to occur before and after surgery. This article statistically analyzed 49 cases of proximal benign bone tumors and tumor-like lesions of the femur treated in our institute from July 1983 to October 1993. All patients were treated by surgery and pathological diagnosis. The patients in this group were treated with lesion scraping, 50% zinc chloride cauterization, cortical bone and/or cancellous bone grafting. Different methods of bone grafting have different effects on the prognosis of the lesion. Cortical bone grafting can help prevent postoperative hip varus and pathological fractures. For patients with lesions involving the femoral head, the lesions may have large necrosis of the femoral head. With a simple lesion curettage, 50% zinc chloride cauterization and bone grafting will be ineffective, requiring more thorough methods to remove lesions and functionalities. Reconstruction, such as artificial femoral head replacement.