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目的 :探讨股骨颈部骨肿瘤的手术。方法 :报告 7例股骨颈部骨肿瘤或瘤样病变 ,均手术治疗。旋股外侧动脉升支血管蒂髂骨瓣并双骨柱植骨 6例 ;缝匠肌髂骨瓣并双骨柱植骨 1例。结果 :7例病人均获得随访 ,最短 6个月 ,最长 3 2个月 ,所有病人病变消失 ,植骨成活。髋关节功能正常 6例 ,屈髋受限 <15°1例。结论 :该术式治疗股骨颈部骨肿瘤 ,具有植骨 修复快 ,股骨颈强度不下降 ,利于关节早期活动的优点。
Objective: To investigate the operation of femoral neck bone tumor. Methods: 7 cases of femoral neck bone tumor or tumor-like lesions were reported, all were surgical treatment. 6 cases of iliac crest pedicled with iliac crest pedicle graft and double bone graft, 1 case of sartorius ilium flap and double bone graft. Results: All the 7 patients were followed up for a minimum of 6 months and a maximum of 32 months. The lesions of all patients disappeared and bone graft survived. Hip joint function was normal in 6 cases, hip flexion <15 ° in 1 case. Conclusion: The surgical treatment of femoral neck bone tumors with bone graft repair, femoral neck strength does not decline, the advantages of early joint activity.