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股骨大粗隆溶骨性病损(附27例报告)
引用本文:林淦松 况春景 等. 股骨大粗隆溶骨性病损(附27例报告)[J]. 江西医学院学报, 1991, 31(4): 45-48
作者姓名:林淦松 况春景 等
作者单位:[1]江西医学院第一附属医院骨科 [2]病理科
摘    要:报告股骨大粗隆部溶骨性病损27例。其中骨囊肿10例(37%),骨结核5例(18.6%),骨纤维异常增殖症4例(14.8%),动脉瘤样骨囊肿3例(11.1%),骨血管瘤2例(7.4%),软骨母细胞,骨巨细胞瘤,毛细血管扩张性骨肉瘤各1例。全部病例均经手术治疗,并经病理证实,其中10例术前与术后诊断不相吻合。本病应综合临床,X线及病理三者所见进行分析以得出正确诊断。对误诊病例进行了讨论。

关 键 词:骨囊肿 结核 骨关节 诊断 外科手术 股骨颈

Osteolytic lesion of Greater Trochanter of the Femur (A Report of 27 cases)
Ling Gansong Kuang Chunjing Ren weiqi Pei Laishou Li Guande. Osteolytic lesion of Greater Trochanter of the Femur (A Report of 27 cases)[J]. Acta Academiae Medicinae Jiangxi, 1991, 31(4): 45-48
Authors:Ling Gansong Kuang Chunjing Ren weiqi Pei Laishou Li Guande
Abstract:Twenty seven cases of osteolytie lesion of greater trochanter of the femur were reported. Among them, 10 cases were bone cyst (37%),5 bone tuberculosis (18. 6%), 4 fibrous hyperplasia of bone (14. 8%),3 aneurysmal bone cysts (11. 1%), 2 hemangioma of bone (7. 4%),and benign chondroblastoma, giant cell tumor of bone and telangiectatic osteosarcoma occurred in one case separately. All the cases underwent operation and were confirmed by pathology. Postoperative diagnosis of 10 cases did not coincide with the preoperative diagnosis. Analysis made according to clinical data, X-ray and pathological findings should be emphasized in order to make a correct diagnosis. Misdiagnosed cases were also discussed.
Keywords:bone cysts/diagnosis  bone cysts/surgery  tuberculosis   osteoarticular/diagnosis  tuberculosis   osteoarticular/surgery  neck of femur  diagnosis   differential  case report
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