论文部分内容阅读
胎儿骨移植治疗良性骨肿瘤24例临床分析运城地区人民医院(044000)王涛,王秀峰,倪安增良性骨肿瘤所造成的骨破坏,采用刮除或切除后所遗留的空腔和缺损部分,常需用植骨的方法予以填充,植骨的骨源多为自体骨。为减少患者自身取骨的痛苦,我们采用了同种异体胎儿移植治疗骨良性肿瘤24例,现报告如下:资料与方法一般资料:男11例,女13例;年龄最大40岁,最小6岁,平均年龄25岁;骨囊肿10例,男6例,女4例;内生软骨瘤男性1例;纤维异样增殖症3例,男1例,女2例;骨巨细胞瘤10例,男3例,女7例。方法:胎骨的提取及保存:将引产下的胎儿,在严格无菌条件下,取出其四肢长管状骨,如需骨较多,还可取其颅骨、肩胛骨,、髂骨,包括骨骺及软骨部分,用300毫升生理盐水加庆大霉素40万单位浸泡,置于消毒的密闭容器中,放在普通冰箱的结冰层中备用,保存时间以不超过7天为宜。植骨:24例患者均采用充填植骨的方法,对产生腔隙的骨肿瘤,如骨囊肿等,在彻底搔爬清除病灶的基础上,再用50%的氯化锌烧灼瘤腔的内壁,生理盐水冲洗。之后,将胎骨咬成0.5厘米的碎块,紧密地充填于病灶清除后的空腔中,需作瘤段切除的,切除后缺损部分,植以条状胎儿骨。结果本组
Fetal bone transplantation in the treatment of benign bone tumors in 24 cases Analysis of People's Hospital of Yuncheng District (044000) Wang Tao, Wang Xiufeng, Ni On benign bone tumors caused by bone destruction, the use of curettage or excision of the cavity and defect left after the Department often need Bone grafting method to be filled, mostly bone graft bone autologous bone. In order to reduce the patient's own bone extraction pain, we used allogeneic fetal transplantation in the treatment of 24 cases of benign bone tumors are reported as follows: Materials and Methods General information: 11 males and 13 females; the oldest 40 years old, minimum 6 years old , Average age 25 years old; bone cyst in 10 cases, 6 males and 4 females; endogenous chondroma 1 males; fibrous dysplasia in 3 cases, 1 males and 2 females; giant cell tumor in 10 cases, male 3 cases, 7 females. Methods: fetus extraction and preservation: the fetus under induction of labor, under strict aseptic conditions, remove the limbs long tubular bone, if the bone more, but also to take the skull, scapula, ilium, including the epiphyseal and cartilage Part, with 300 ml saline plus 400,000 units of gentamicin soaked, placed in a closed sterile container, placed in an ordinary refrigerator ice layer spare, save time to no more than 7 days is appropriate. Bone grafting: 24 patients were treated with bone graft method, the lacunar bone tumors, such as bone cysts, etc., on the basis of thorough scraping to remove the lesion, and then use 50% zinc chloride burn the inner wall of the tumor cavity Rinse with saline. After that, the bones will bite into 0.5 cm fragments tightly packed in the cavity after removal of the lesion, to be removed for the tumor segment, after resection of the defect part, planted with fetal fetal bone. Results of this group