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用不同手术方法治疗骨巨细胞瘤32例(Ⅰ级16例,Ⅱ级13例,Ⅲ级1例,未定级2例),经过平均6.5年随访,复发13例,占40.6％。复发与肿瘤分级无明显关系,与手术方法有关。作者认为:手术以整块瘤段切除,辅以带血管蒂骨块移植为佳,对范围较小的Ⅰ级巨细胞瘤,可作切刮但必须彻底辅以灭活,对Ⅱ～Ⅲ级侵犯软组织者,最好截肢。
32 cases of giant cell tumor of bone were treated with different surgical methods (16 in grade Ⅰ, 13 in grade Ⅱ, 1 in grade Ⅲ and 2 in non-classification). After an average of 6.5 years of follow-up, 13 cases (40.6%) had recurred. Recurrence and tumor grade no significant relationship, and surgical methods. The authors believe that: surgical resection of the entire tumor segment, supplemented with vascular pedicle bone graft is better, for a small range of grade I giant cell tumor, can be used for scrape but must be thoroughly supplemented with inactivation of grade Ⅱ ~ Ⅲ Invading the soft tissue, the best amputation.