关节镜手术治疗后足骨样骨瘤疗效分析

摘要

Objective To evaluate clinical outcome of arthroscopic treatment of osteoid osteoma in hind‐foot . Methods From February 2013 to July 2014 ,8 cases of osteoid osteoma in hind‐foot were treated by arthroscopic manner .There were 5 males and 3 females with a mean age of 21 .25 years .The calcaneus was implicated in 5 cases and the talus was implicated in 3 cases .Overall functional evaluation was carried out according to Visual Analogue Scale (VAS) ,American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hind‐foot score .Results Eight cases were followed up for 4‐22 months (mean ,16 months) .There was no wound infection and neoplasm recurrence . The average VAS score reduced significantly from 8 .375 preoperatively to 0 .375 postoperatively ,and the average AOFAS ankle and hind‐foot score improved significantly from 40 .375 preoperatively to 92 .500 postoperatively . Conclusion The arthroscopic treatment of osteoid osteoma in hind‐foot is a safe and reliable treatment ,because it can resect the tumor completely ,and also limited the soft tissue complications .%目的探讨关节镜手术治疗后足骨样骨瘤临床疗效。方法2013年2月至2014年7月，采用关节镜手术治疗后足骨样骨瘤患者8例，其中男性5例，女性3例，平均年龄21．25岁。受累部位为跟骨5例，距骨3例。采用疼痛视觉模拟评分（VAS）、美国足踝骨科学会（AOFAS）踝‐后足评分综合评估临床疗效。结果术后随访4～22个月，平均16个月。所有患者术后均无伤口感染、肿瘤复发等并发症发生。末次随访时 VAS评分由术前平均8．375分改善至术后平均0．375分，差异有统计学意义；AOFAS踝‐后足评分由术前平均40．375分改善至术后平均92．500分，差异有统计学意义。结论关节镜手术治疗后足骨样骨瘤在完整切除肿瘤的同时，可减少软组织并发症，是一种安全、可靠的治疗技术。