病灶清除植骨联合DHS内固定治疗股骨近端囊肿

目的:探讨病灶清除植骨联合动力髋螺钉(DHS)内固定术治疗股骨近端囊肿的临床疗效及意义。方法:自2006年3月至2012年6月共有17例股骨近端囊肿患者在我院接受治疗并有完整随访,全部患者均应用病灶清除植骨联合DHS内固定术手术治疗。结果:平均随访时间18个月(14-60个月),病灶植骨处平均愈合时间7个月(6-8个月)。平均手术时间182分钟(90分钟~282分钟),术中平均出血量340 mL(100~700 mL)。切口全部一期愈合,术后病灶处均达到骨性愈合,骨密度均匀,17例均未出现骨囊肿复发及内固定断裂,未发生股骨头坏死及股骨近端骨折,按Harris髋关节功能评分标准,优良率为100%。结论:病灶清除植骨术联合DHS内固定治疗股骨近端囊肿操作简单,术中出血少,并发症少,疗效确切,是治疗股骨近端骨囊肿,降低其复发率和预防病理性骨折的一种有效方法。

Treatment of Proximal Femur Cyst by Curetting and Implanting Bone Combined with DHS Fixation

Objective:To study the clinical effect and significance of curetting and implanting bone combined with Dynamic hip screw (DHS) fixation on the treatment of the cyst near femoral head.Methods:17 patients with proximal femur cyst who were treated in our hospital from March 2006 to June 2012 were selected and followed-up.Results:All the patients were followed up for 18 months (range,14-60 months). The average healing time of bone lesions was 7 months (6~8 months). The average time for operation was 182 minutes(90-282 minutes), the average blood loss was 340 mL(100 ~700 mL); Lesions of have 17 patients got well after operation without any recurrency, or femoral head avascular necrosis. 100% fineness was reached according the Harris Hip Joint Function Scale.Conclusion:Curetting and implanting bone combined with DHS fixation of proximal femur cyst is a new effective method, with simply procedure, less complications and lower recurrent rate.