骨巨细胞瘤瘤段切除与功能重建

为了进一步减少骨巨细胞瘤术后复发率，对１２例骨巨细胞瘤行瘤段切除术，再根据肿瘤的部位、大小、病检情况，分别采取各种类型人工假体、自体骨移植和瘤段骨高温高压灭活原位回植等重建肢体功能。全部病例随访２～２２年，无１例复发，术侧肢体功能均有不同程度恢复。认为，骨巨细胞瘤瘤段切除术能减少肿瘤复发率，是较传统的囊内刮除术和囊外边缘切除术更有效的治疗骨巨细胞瘤的方法。

Tumorous Segmental Resection and Functional Reconstruction for Giant Cell Tumor

In order to reduce postoperative recurrence rate of giant cell tumour, 12 cases with giant cell tumor were performed tumorous segmental resection from January 1975 to August 1994. According to tumorous space, size and the result of the biopsy, the prosthesis, autogenic bone graft and killed tumorous bone replantation were chosen to reconstruct limbs function. All the patients were followed up to 2～22 years with an average of 11. 9 years and no one had recurrence. The function of the limbs were good. It is concluded that tumorous segmental resection can reduce tumour recurrence rate and may replace manual curettage.