股骨颈良性骨肿瘤的外科治疗

摘要

Objective: To investigate the melhod and efficacy of surgical management of benign tumors of femoral neck. Methods; Forty - three patients with benign bone tumors of femoral neck were treated with different surgical methods. The results were evaluated by Eneeking scoring during follow up. Results: There were 4 recurred cases. A-mong the remaining 39 patients,35 patients had excellent and good limb and joint function,4 patients had fair function. Conclusion; The successful outcome can be achieved in the patients with benign bone tumors of femoral neck if a proper surgical technigue is chosen.%目的:探讨股骨颈良性骨肿瘤外科治疗方法及疗效.方法:股骨颈良性骨肿瘤患者43例,依据肿瘤类型及骨损害程度,选择不同术式行外科治疗,依据Eneeking评分标准进行术后关节功能评估.结果:43例中39例得到局部控制,其余4例复发.复发率为9.3％.4例局部复发者不做功能学分析.余35例为优,28例病人可做运动或重体力劳动,7例病人可行走,但有轻度臀肌步态.4例功能为良.随访时间4-62(31.3)个月.Eneeking功能评分:26-30(28.2)分.结论:股骨颈良性骨肿瘤根据肿瘤类型及骨损害程度选择合适的术式,治疗效果及功能恢复均良好.