158例股骨近端病变的外科治疗方法

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Abstract Objective To investigate the diagnosis，treatment and prognosis of lesions in proximal femoral.Methods 158 patients with proximal femoral lesions in our hospital fromJanuary 2001 to December 2014 were analyzed retrospectively.36 cases was diagnosed malignant tumors，and 122 cases was diagnosedbenign lesions.Malignant tumor mainly adopted the extended resection of tumor sections with hip arthroplasty.The surgical treatment of benign lesions mainly took the lesions scraping in addition to graft bone with internal fixation.Aggressive benign tumors received tumor segment resection and prosthetic replacement of hip joint.Results Followed up for 6 to 60 months，with an average of 29 months，19 cases were lost.6 cases of benign lesions developed postoperative recurrence.6 cases of malignant tumorsdied，8 cases appeared local recurrence，6 cases developed pulmonary metastasis.According to ISOLS score，the average score of benign lesion was 25.1，and malignant tumors was 19.7.Conclusion In order to reduce local disease recurrence and improve the patient's hip function and improve prognosis，the surgical treatments should be based on the pathological characteristics and the scope of proximal femoral lesions.Whether benign lesions and malignant tumors，patients could acquiregood hip joint function by surgery.

Key words： proximal femur bone tumor giant cell tumor of bone surgical treatments

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［1］Enneking WF，Spanier SS，Goodman MA.A system for the surgical staging of musculoskeletal sarcoma 1980［J］.Clin Orthop Relat Res，2003(415)：4-18.
［2］郭卫.骨与软组织肿瘤术后功能重建的评估标准［J］.中华骨科杂志，2001，21(10)：635-636.
［3］Adekoya-Cole TO，Akinmokun OI，Soyebi KO，et al.Femoral neck shaft angles：A radiological anthropometry study［J］.Niger Postgrad Med J，2016，23(1)：17-20.
［4］Seeley MA，Georgiadis AG，Sankar WN.Hip vascularity：A review of the anatomy and clinical implications［J］.J Am Acad Orthop Surg，2016，24(8)：515-526.
［5］Tong Z，Zhang W，Jiao N，et al.Surgical treatment of fibrous dysplasia in the proximal femur［J］.Exp Ther Med，2013，5(5)：1355-1358.
［6］Wijsbek AE，Vazquez-Garcia BL，Grimer RJ，et al.Giant cell tumour of the proximal femur：Is joint-sparing management ever successful［J］.Bone Joint J，2014，96(1)：127-131.
［7］陈涛，尚希福，贺瑞，等.髋关节内侧切口在股骨近端内侧病变手术中的应用［J］.实用骨科杂志，2012，18(6)：550-552.
［8］Zimmermann G，Moghaddam A.Allograft bone matrix versus synthetic bone graft substitutes［J］.Injury，2011，42(Suppl 2)：16-21.
［9］镐英杰，于磊，李志磊，等.同种异体骨与自体骨在骨缺损治疗中的应用比较［J］.实用骨科杂志，2015，21(7)：592-595；666.
［10］高明暄，李旭升，付晓燕，等.带血供腓骨移植重建股骨近端溶骨性病变致骨缺损［J］.中国矫形外科杂志，2015，23(15)：1351-1355.
［11］李建林，许建波，曾才铭，等.深低温冷冻大段同种异体骨移植修复四肢骨肿瘤切除后大段骨缺损［J］.临床肿瘤学杂志，2004，9(3)：247-249.
［12］Calabro T，Van Rooyen R，Piraino I，et al.Reconstruction of the proximal femur with a modular resection prosthesis［J］.Eur J Orthop Surg Traumatol，2016，26(4)：415-421.
［13］Cho HS，Lee YK，Ha YC，et al.Trochanter/calcar preserving reconstruction in tumors involving the femoral head and neck［J］.World J Orthop，2016，7(7)：442-447.
［14］Torner F，Segur JM，Ullot R，et al.Non-invasive expandable prosthesis in musculoskeletal oncology paediatric patients for the distal and proximal femur.First results［J］.Int Orthop，2016，40(8)：1683-1688.
［15］Keller J.Disarticulation of the hip and hemipelvectomy［M］//George European surgical orthopaedics and traumatology：The EFORT textbook.Berlin，Heidelberg：Springer Berlin Heidelberg，2014：4197-4209.
［16］Couto AG，Araujo B，Torres de Vasconcelos RA，et al.Survival rate and perioperative data of patients who have undergone hemipelvectomy：a retrospective case series［J］.World J Surg Oncol，2016，14(1)：255.
［17］Houdek MT，Andrews K，Kralovec ME，et al.Functional outcome measures of patients following hemipelvectomy［J］.Prosthet Orthot Int，2016，40(5)：566-572.
［18］张涛，张余，徐亮，等.以刮除植骨为主治疗四肢骨巨细胞瘤的临床观察［J］.临床肿瘤学杂志，2010，15(12)：1107-1109.
［19］徐明，张慧林，耿磊，等.股骨近端骨巨细胞瘤治疗的多中心回顾性研究［J］.中华骨科杂志，2014，34(11)：1110-1118.
［20］Klenke FM，Wenger DE，Inwards CY，et al.Recurrent giant cell tumor of long bones：analysis of surgical management［J］.Clin Orthop Relat Res，2011，469(4)：1181-1187.