骨巨细胞瘤和二次性骨关节炎
Niket Todi1, David M Hiltzik2, Drew D Moore1,3
1Corewell Health William Beaumont University Hospital, Department of Orthopaedic Surgery, 3601 W 13 Mile Rd, Royal Oak, MI, 48073, USA.
Heliyon
|May 29, 2024
概括
骨巨细胞瘤具有攻击性,需要手术. 本综述涵盖了它们的自然史,治疗变异,诸如骨关节炎之类的并发症,以及未来的研究方向,以获得更好的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 巨细胞骨瘤 (GCTB) 是一种具有攻击性的形瘤.
- 手术是GCTB的主要治疗方式.
- 对于GCTB的组织病理学和最佳辅助治疗方法仍然不完全理解.
研究的目的:
- 审查GCTB的自然历史和呈现.
- 检查当前的治疗选择,包括内除和辅助疗法.
- 讨论并发症,特别是二次性关节炎,及其管理.
主要方法:
- 关于GCTB自然历史的文献综述.
- 对手术治疗变化和辅助方式的分析.
- 评估长期并发症和骨关节炎的发展.
主要成果:
- 内切割是GCTB的标准手术方法.
- 在辅助治疗和空腔管理方面存在显著的变化.
- 二次性关节炎是GCTB治疗后常见的长期并发症.
结论:
- 最佳的GCTB治疗缺乏普遍商定的黄金标准.
- 关节整形术通常是二次性关节炎的必要,但疗效数据有限.
- 未来的研究应该专注于新的药理疗法和GCTB的增强关节塑形技术.
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