2140例骨肿瘤及瘤样病变统计分析

目的 探讨骨肿瘤及瘤样病变在我区的发病情况。方法 统计我院1963～2000年经病理检查证实的2140例骨肿瘤及瘤样病变进行统计分析。结果 原发性良性肿瘤583例(27．24％)，骨巨细胞瘤480例(22．43％)，原发恶性骨肿瘤590例(27．57％)，转移瘤33l例(15．47％)，瘤样病变156例(7．29％)。原发良、恶性肿瘤之比为0．99：1，男女之比为1．53：1，好发年龄为11～30岁，好发部位为股骨(30．18％)，其次为胫骨(20．40％)，良性骨肿瘤以骨软骨瘤(36．71％)、骨瘤(14．92％)多见。恶性骨肿瘤以骨肉瘤(53．56％)，软骨肉瘤89例(15．08％)多见。瘤样病变则以骨囊肿(66．03％)、骨纤维异样增殖症(28．21％)多见。结论 本组结果与国内文献对比有较多相似之处，但良、恶性骨肿瘤之比有较大不同，这可能与广西少数民族生活习惯及骨巨细胞瘤另分组统计有关。

A statistical analysis of 2140 cases of tumors and tumor - like lesions of bone

Objective To study the tumors and tumor - like lesions of bone ecountered in Guangxi Province. Method A statistical study was done on 2 140 cases of tumors and tumor-like lesions of bone which confirmed by pathological examinations. Results There were 583 cases of primary benign tumors (27. 24%), 480 cases of giant cell tumor of bone(22.43 %), 590 cases of malignant tumors, (27.57%), 331 cases of metastatic tumors (15.47%), 156 cases of tumor - like lesions(8.26%). The ratio between benign and malignant lesions was 0.99: 1, and the ratio of male and female was 1.53: 1. Most cases occurred in the second and third decade, and the most common sites were located in femur in 30. 18 %, in tibia in 20.40%. In benign bone tumors, osteochondroma accounted for 36. 71%, and osteoma 14.92%. In malignant tumors, osteosarcoma accounted for 53. 56%, chondrosarcoma 15.08%. In tumor - like lesions, there were 66. 03 % in bone cyst and 28. 21% in fibrous dysplasia. Conclusion The results of this statis- tical analysis were similar to results of other domestic data, but the ratio between benign and malignant tumors was quite different, it might be due to the living habits of minority in Guangxi and additional analysis of giant cell tumor of bone.