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目的:对小儿长骨纤维异样增殖症的复发原因及手术治疗进行分析总结,对防止术后复发的措施进行探讨。临床资料:收治小儿长骨纤维异样增殖症44例,均经病理证实。该病术后复发率颇高,12例因复发而再次或多次手术,复发率达36%。其中胫骨为最常见的复发部位,占67%。结果:35例行刮除病灶植骨术,术后11例复发。其中胫骨13例,复发7例。对9例胫骨以前方破坏为主的病变,手术方法由刮除病灶植骨术改进为蝶形切除病灶植骨术,术后1例复发。结论:蝶形切除病灶植骨术是防止小儿骨纤维异样增殖症术后复发的较好方法。
OBJECTIVE: To analyze and summarize the causes of recurrence of pediatric long bone fibrous dysplasia and the surgical treatment, and to discuss the measures to prevent postoperative recurrence. Clinical data: Treatment of 44 cases of pediatric long bone fibrous dysplasia, confirmed by pathology. The disease recurrence rate was high, 12 cases due to recurrence or multiple operations, the recurrence rate was 36%. The tibia is the most common site of recurrence, accounting for 67%. Results: 35 patients underwent curettage and bone grafting, and 11 patients relapsed after operation. Including tibia in 13 cases, 7 cases of recurrence. Nine cases of anterior tibial destruction of the main lesion, the surgical method by curettage lesion grafting improved to butterfly excision lesion bone graft surgery, 1 case of recurrence. Conclusion: Butterfly resection lesion bone grafting is a good way to prevent postoperative recurrence of osteofibrous dysplasia in children.