四肢长骨骨巨细胞瘤手术治疗72例分析

目的比较不同手术方法治疗四肢长骨骨巨细胞瘤的临床效果，方法随访1984年11月～2002年9月间手术治疗的72例四肢长骨骨巨细胞瘤。男性31例，女性41例。年龄14～66岁，平均32．4岁。结果72例患中有53例获得随访，随访率为73．6％，随访时间8个月～18年，平均11年4个月。刮除组肿瘤复发率为23％，瘤段切除组肿瘤复发率为9％，结论病灶刮除术和肿瘤瘤段切除术是治疗骨巨细胞瘤的基本方法，肿瘤瘤段切除术的复发率较低。

Analysis of curettage and en block resection of giant cell tumor of long bones

Objective To evaluate the clinical results of the giant cell tumors of long bones treated with curettage or en block resection. Methods 72 patients with giant cell tumors of extremities were treated by curettage and en bloc resection since 1984 to 2002. They are 31 males and 41 females and the ages ranged from 14 to 66 and the mean is 32.4 years old. All these patients were followed-up. Results The local recurrence rate was 23% in the curetted group and 9% in the en block resection group. The clinical results were excellent. Conclusion Both curettage and en block resection is effective and safe in treatment of giant cell tumors of long bones.