局灶性胫骨骨纤维异样增殖症14例治疗体会

目的:探讨局灶性胫骨骨纤维异样增殖症病灶清除植骨加锁定加压钢板(LCP)内固定治疗骨纤维异样增殖症的治疗体会。方法:回顾性分析14例局灶性胫骨骨纤维异样增生症患者的临床资料,男6例,女8例,年龄13～36岁,平均25.4岁,其中发生病理性骨折1例;大多数患者主诉小腿不适、隐痛,局部肿胀,除1例病理性骨折外,患肢无明显活动受限,出现症状时间2 d～3年不等,经X线片、CT或MRI检查后发现并收住院,采用病灶清除植骨加LCP内固定手术,术后经病理证实为骨纤维异样增殖症。结果:本组患者均获得随访,随访时间12～60个月,平均26.5个月;其中13例患者术后复查X线片植骨边缘区模糊,髓腔内骨密度增高,有新骨形成,有1例术后复发,经再次手术后未见复发。结论:局灶性胫骨骨纤维异样增殖症病灶清除植骨加LCP内固定是较为理想的治疗方法。

Focal tibial fibrous hyperplasia of bone treatment experience in 14 cases

Objective To explore the focal tibial fibrous hyperplasia of bone debridement bone graft and the locking compression plate(LCP) internal fixation in the treatment of fibrous dysplasia of bone treatment.Method A retrospective analysis of our hospital since 2005 to 2011 was treated.There were14 cases of focal bone fibrous hyperplasia,male was 6 cases,female was 8 cases,age was13-36 years old,average age was 25.4 years old,including pathologic fracture in 1 case.The majority of patients with leg discomfort,pain,localized swelling,Except for 1 case of pathological fractures,limb was without significant activity limitation,symptoms time was 2 days-3 years,by X-ray,checking CT or MRI and hospitalized patients,The debridement bone graft and internal fixation of +LCP operation,postoperative pathology confirmed fibrous hyperplasia of bone.Results All the patients were followed up for 12-60 months,average of follow-up time was 26.5 months.In 13 cases of postoperative found radiographic bone marginal zone fuzzy,intramedullary bone mineral density increased,and there was new bone formation.There was 1 case of postoperative recurrence after operation without recurrence,once again.Conclusion Focal tibial fibrous hyperplasia of bone debridement bone graft and LCP internal fixation is an ideal treatment method.