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单室骨囊的开放性手术治疗:一项追溯数据分析

Kevin Döring^1,2, Géraldine D Sturz³, Gerhard Hobusch³

¹Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria. kevin.doering@meduniwien.ac.at.

Wiener klinische Wochenschrift

|August 31, 2023

概括

单室骨囊 (UBC) 的开放手术失败率很高,近30%的患者需要修复. 这种治疗最好保留给儿童的特定复杂病例.

科学领域:

整形外科手术整形外科手术
儿科瘤学儿科瘤学
骨病理学骨病理学

背景情况:

单腔骨囊 (UBC) 有各种不同的治疗选择.
开放管理UBC是有争议的.
本研究分析了单一机构对UBC开放性手术治疗的经验.

研究的目的:

评估单室骨囊 (UBC) 开放外科治疗的结果.
为了确定与UBC治疗失败相关的因素.
评估UBC的开放式和皮肤穿修复手术的疗效.

主要方法:

对119名UBC患者进行了回顾性分析,这些患者接受了开放性手术治疗.
来自维也纳骨和软组织瘤登记处的数据.
平均随访时间为4.8年,治疗失败被定义为持续性或复发性修复手术.

主要成果:

在10年内,局部无修订生存率为57%.
29%的患者 (34) 需要至少一次修复手术.
年轻的患者,靠近生长板的病变和更多的隔离与治疗失败有关.
开放式修改手术的第二次修改率与皮肤外科手术相比较低.

结论:

对UBC进行开放性手术是建议作为最后的手段,对于年轻的儿童有活跃的病变.
开放性UBC手术的失败率很高 (接近30%).
开放性手术的指示应限于广泛的骨解,病理性骨折或需要活检的模两可的病变.

关键词:

骨头移植骨头移植骨的瘤骨的瘤剪切的方法剪切的方法手术瘤学手术瘤学类似瘤的病变

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