桡骨近端骨肿瘤切除重建:2例病例报告并文献复习
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1.山东中医药大学;2.中国人民解放军联勤保障部队第960医院

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Resection and reconstruction of proximal radial bone tumors: 2 case reports and literature review
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1.Shandong University of Tranitional Chinese Medicine;2.The 960th Hospital of the Chinese People&3.amp;4.#39;5.s Liberation Army Joint Logistic Support Force

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    摘要:

    桡骨近端骨肿瘤发病率较低,临床病例少,目前尚没有规范的手术治疗策略和并发症报道,本文报道了我院近年收治的 2 例桡骨近端骨肿瘤患者,分别采用肿瘤刮除腓骨植骨内固定术和、瘤段灭活回植内固定术,术后均取得良好的手术效果,尤其是前臂旋转功能的重建取得了令人满意的效果。结合国内外报道的相关文献进行复习,发现该部位发病肿瘤恶性程度相对较低,手术方式多样,多数患者术后出现了前臂旋转功能受限、腕背伸活动受限、桡神经麻痹、下尺桡关节脱位等并发症。本文总结桡骨近端骨肿瘤不同手术方案的手术疗效及、并发症,为指导临床提供策略。

    Abstract:

    The incidence of proximal radial bone tumor is low and there are few clinical cases. There are no standardized surgical treatment strategies and complications reported at present. This paper reports the proximal of 2 cases admitted in our hospital in recent years, the radial bone tumor patients, tumor were used respectively to tumor curettage and bone grafting, and alcohol-inactivated autograft replantation. All of them achieved satisfactory results, especially the reconstruction of forearm rotation function. Combined with the review of relevant literature reported at home and abroad, it was found that the malignant degree of the tumor in this area was relatively low, and the surgical methods were diverse. Most patients had postoperative complications such as limited forearm rotation function, limited wrist dorsiflexion activity, radial nerve palsy, and inferior radioulnar joint dislocation. This article summarizes the surgical efficacy and complications of different surgical procedures for proximal radial bone tumors, and provides strategies for guiding clinical practice.

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  • 收稿日期:2021-11-12
  • 最后修改日期:2022-02-27
  • 录用日期:2022-04-14
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