新方法治疗长骨骨化性纤维瘤刮除术后骨缺损

目的：介绍一种长骨骨化性纤维瘤刮除术后骨缺损修复的新方法，并总结其治疗效果。方法：对3例长青骨化性纤维瘤，在经手术彻底刮除病灶后所形成的包容性骨缺损的血肿内，植入自体骨膜碎片，通过术前，术手影像学对比和临床功能进行评价，结果：经3－6年随访，X线处显示成骨良好，骨缺损修复，病变未复发，肢体功能正常。结论：长骨骨化性纤维瘤属良性肿瘤，发病率较低，术前易误诊，术后易复发。病灶彻底刮除，在骨缺损区血肿内植入自体骨膜碎片，是治疗骨化性纤维瘤的有效新方法。

A New Method of Bone Defect Repairing after Curettage of Ossifying Fibroma of the Long Bones

Objective: To introduce a new method of bone defect repairing after curettage of ossifying fibroma, and summarize the result. Methods:3 cases of ossifying fibroma confirmed pathologically were treated with this new method. The pieces of autogenous periosteum were implanted into the hematoma within the enveloped bone defect created after curettage of the focus. The results were evaluated through the comparison of postoperative radiological findings with the preoperative ones and analysis of clinical functions. Results: No recurrence was found in the 3 to 6 years' follow up, and X ray films showed that osteogenesis developed well and that the enveloped bone defects had been repaired. Conclusion: Ossifying fibroma of the long bones is a kind of benign tumour with very low incidence. It was often misdiagnosed before the pathological examination. Complete curettage of the focus and autogenous periosteum grafting is effective in the treatment of this disease.