股骨近端骨肿瘤及瘤样病损的诊治研究

目的 对文献报道较少的股骨近端骨肿瘤及瘤样病损的临床诊治进行回顾性分析。方法 对1996～2002年所收冶的59例股骨近端骨肿瘤及瘤样病损的类型、诊断、手术方法和疗效进行分析。结果 其中47例接受手术治疗，手术方式根据病检、影像资料和身体条件来选择，均安全度过围手术期，术后近期疗效均较满意。50例获3月～5年随访，10例5～47个月死亡，6例复发再手术，其余治愈或随访期内无瘤生存。结论 早期诊断并且根据肿瘤或病损的类型，结合生物力学和临床症状综合评估选择手术治疗方式，以达到治愈或提高生活质量的目的。

Diagnosis and Treatment of Bone Tumor and Tumor-like Lesion in Proximal Femur

Objective To study early diagnosis and surgical treatment of bone tumor and tumor-like lesion in proximal femur, which are seldomly reported. Methods The clinical datum (types, diagnosis, clinical manifestation, different approach and surgical procedure) of 59 cases from 1996 to 2002 were analysed retrospectively. Results 47 cases received operation, and no patient died during periopertive period. The recent postoperative surgical outcomes were satisfactory in all cases. The follow-up period for 50 cases varied from 3 months to 5 years. In those cases, 10 patients died within 5 to 47 months; 6 cases recurred and received another operation; others were cured or lived without tumor during follow-up period. Conclusion Early diagnosis and surgical treatment is a very effective way. The surgical approach should be decided according to types, clinical manifestation and biomechanics.