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目的分析总结临床常见骨关节肿瘤的流行病学发病情况及构成比。方法通过对西京骨科医院骨肿瘤科1990～2007年18年收住的原发性良、恶性骨关节肿瘤、骨瘤样病变、骨转移瘤3409例的统计分析,观察临床各种常见骨关节肿瘤的构成比及其在不同年龄、性别及部位的发病情况。结果3409例骨关节肿瘤中良恶性肿瘤之比为1.12:1;良性肿瘤与恶性肿瘤男女性别比为1.28:1与1.29:1;年龄组中最好发于10～20、20～30岁,病变部位最好发于股骨和胫骨;发病率从高到低依次为:骨肉瘤、骨巨细胞瘤、骨软骨瘤、骨纤维结构不良和骨囊肿。其中恶性肿瘤最常见的是骨肉瘤,其次为软骨肉瘤和恶性纤维组织细胞瘤,恶性肿瘤的好发部位为胫骨和股骨;良性肿瘤最常见的为骨巨细胞瘤,其次为骨软骨瘤,良性肿瘤的好发部位为胫骨和股骨。骨瘤样病变最常见的是骨纤维结构不良,其次为骨囊肿;骨转移瘤最常见的部位是脊柱。结论本组统计和国内其他地区统计基本相同,与国外报道有一定差异。
Objective To analyze and summarize the epidemiological incidence and composition of common bone and joint tumors in clinical practice. Methods According to the statistical analysis of 3409 cases of primary benign and malignant bone and joint tumors, osteosarcoid lesions and bone metastases admitted to Xijing Orthopedic Hospital from 1990 to 2007, 18 cases were admitted to Xijing orthopedic hospital for observing all kinds of common bone and joint tumors The composition ratio and its incidence in different age, gender and location. Results The ratio of benign and malignant tumors in 1 3409 cases of osteoarticular tumors was 1.12: 1. The ratio of male to female in benign tumors and malignant tumors was 1.28: 1 and 1.29: 1. The best occurred in age group of 10-20 and 20-30 years old, Lesions occur most preferably in the femur and tibia; the incidence of descending order: osteosarcoma, giant cell tumor of bone, osteochondroma, fibrous dysplasia and bone cysts. One of the most common malignant tumor is osteosarcoma, followed by chondrosarcoma and malignant fibrous histiocytoma, malignant tumor of the site of development for the tibia and femur; benign tumors are the most common giant cell tumor of the bone, followed by osteochondroma, benign The site of the tumor is the tibia and femur. Osseous lesions are the most common bone fibrous dysplasia, followed by bone cysts; the most common site of bone metastases is the spine. Conclusion Statistics in this group are basically the same as those in other regions in China, and there are some differences with foreign reports.