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頁籤選單縮合
題名 | Results of Curettage and High-speed Burring for Chondroblastoma of the Bone=骨之軟骨母細胞瘤 |
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作者 | 許家禎; 王俊聞; 陳金恩; 林瑞偉; | 書刊名 | 長庚醫學 |
卷期 | 26:10 2003.10[民92.10] |
頁次 | 頁761-767 |
分類號 | 416.66 |
關鍵詞 | 軟骨母細胞瘤; 刮除術; 高速電銼; Chondroblastoma; Curettage; High-speed burring; |
語文 | 英文(English) |
中文摘要 | 背景:軟骨母細胞瘤是少見之骨腫瘤。大多數可以刮除及植骨之方法成功治療。然而此腫瘤有相當程度之復發率,尤其是在較侵襲性的病灶。本研究之目的乃報告十個軟骨母細胞瘤病例以婼除、高速電銼之方法治療之結果。 方法:於1991年10月至2000年8月計有十例軟骨母細胞瘤病例以刮除術併以高速電銼治療。有三例女性、七例男性,平均年齡18.9歲(12歲到30歲)。有三個腫瘤在X光下被歸類於較侵襲性、另七個腫瘤被歸類於較非侵襲性。八個病例腫瘤切除後缺損以移植骨或人工代用骨充填之。一例之缺損以骨水泥充填之。另有一例因缺損較小未接受切除後充填。 結果:在平均62個月的追蹤所有病人之患肢均有良好之功能且沒有腫瘤復發或達處轉移現象。八個病例(包含一未接受切除後充填病例)X光追蹤呈現完全骨病灶癒合。一例接受骨水泥充填之病例在X光追蹤沒有改變現象,一例接受代用骨充填缺損處之病例仍有骨癒合不全現象。 結論:以刮刺術、高速電銼治療骨之軟骨母細胞瘤是一個有效之方法。 |
英文摘要 | Backgorund: Chondroblastomas of the bone are rare lesions. Most of these lesions can be successfully treated by curettage and bone grafting. However, a considerable rate of recurrence has been reported, especially in aggressive lesions. The purpose of this study was to report the results of 10 cases of chondroblastomas of the bone treated with curettage and high-speed burring. Methods: Ten patients with histologically confirmed chondroblastoma of the bone were treated with curettage and high-speed burring between October 1991 and August 2000. there were 7 men and 3 women with an average age of 18.9 (range, 12 to 30) years. Radiographically, 3 were classified as having aggressive lesions, and 7 were classified as having non-aggressive ones. For treatment, 8 of them had defects packed with either bone grafts or one substitutes; 1 defect was packed with bone cement; and the other was left alone because the lesion was small. Results: At an average follow-up period of 62 (range, 8 to 112) months, all patients had painless, normal function of the affected limb without local recurrence or distant metastasis. Complete healing of the lesion was seen in 8 patients including the one without a bone graft. The lesion in 1 patient who had received bone cement remained unchanged radiographically. One patient experienced incomplete healing of the lesion, which was caused by inadequate packing of the bone substitute. Conclusion: Curettage and high-speed burring represent an effective method for the treatment of chondroblastoma of the bone whether in the non-aggressive or aggressive stage. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。