手部内生软骨瘤22例临床分析

摘要

目的：探讨手部内生软骨瘤的诊断和治疗方法。方法手部内生软骨瘤患者22例,8例行肿瘤病灶刮除术,14例行肿瘤病灶刮除加松质骨条填塞植骨术。观察其疗效。结果22例患者术后均获随访,随访时间12~54个月,平均随访20个月,无一例复发,手部功能恢复良好。结论手部内生软骨瘤一经确诊应早期手术,彻底刮除病灶或病灶刮除加松质骨条填塞植骨术是治疗的有效方法。%ObjectiveTo investigate diagnosis and treatment method of hand enchondromatosis. MethodsThere were 22 patients with hand enchondromatosis. Among them, 8 cases received tumor curage, and 14 cases received tumor curage combined with cancellous bone packing bone grafting. Their curative effects were observed.ResultsAll the 22 cases received follow-up after operation for 12~54 months, with the average time as 20 months. There was no recurrence case, and all patients had good rehabilitation of hand function. ConclusionEarly operation is necessary for diagnosed hand enchondromatosis. Implement of tumor curage or curage combining with cancellous bone packing bone grafting are effective treatment methods.