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目的探讨股骨近端良性骨肿瘤外科治疗方法及疗效。方法股骨近端良性骨肿瘤患者16例,依据肿瘤类型及骨损害程度,选择不同术式行外科治疗,依据Eneeking评分标准进行术后关节功能评估。结果行单纯切除术3例,刮除术4例,刮除+植骨术5例,刮除+骨水泥填充、刮除+植骨+动力性髁螺钉(DCS)内固定、刮除+植骨+动力髋螺钉(DHS)预防性内固定、扩大切除+人工全髋关节置换术各1例。平均随访24.4(3～46)个月,Enneking功能评分,除1例人工全髋关节置换术后6周为27分、3个月时为29分外,其余患者术后3个月均达满分。结论股骨近端良性骨肿瘤根据肿瘤类型及损害程度选择合适的术式,治疗效果及功能恢复均良好。
Objective To investigate the surgical treatment of proximal femoral benign bone tumors and its efficacy. Methods Sixteen patients with benign bone tumors of the proximal femur were selected for surgical treatment according to the type of tumor and the degree of bone damage. Postoperative joint function was evaluated according to Eneeking score. Results Three cases of simple excision, four cases of curettage, five cases of curettage and bone graft, curettage plus bone cement, curettage plus bone graft and dynamic condylar screw fixation, Bone + dynamic hip screw (DHS) prophylactic internal fixation, expansion and total hip arthroplasty in 1 case. After a mean follow-up of 24.4 months (range, 3 to 46) months, Enneking score was 27 points at 6 weeks after one case of total hip arthroplasty and 29 points at 3 months. All patients reached full score at 3 months . Conclusion The proximal femoral benign bone tumors according to the type of tumor and the degree of damage to choose the appropriate surgical procedure, the treatment effect and functional recovery are good.