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长管骨骨巨细胞瘤31例,受累部位分别为:股骨12例,胫骨8例,桡骨7例,尺骨3例,腓骨1例。临床表现以局部疼痛、肿胀、肿块与关节活动受限为主要表现。X线片表现为侵及骨骺的偏心性、膨胀性溶骨性破坏,呈肥皂泡样改变。病理检查按Jafe分为Ⅰ-Ⅲ级。31例均行手术治疗。术后随访29例,关节功能良好19例,轻度受限5例,2例在术后2年复发,1例在术后11个月复发并恶变而行截肢术。
There were 31 giant cell tumors of the long bones. The affected sites were 12 cases of femur, 8 cases of tibia, 7 cases of tibia, 3 cases of ulna, and 1 case of tibia. The main manifestations of the clinical manifestations were local pain, swelling, mass and joint mobility. The X-ray film showed invasive and osteophyte eccentricity, expansive osteolytic destruction, and changed like soap bubbles. The pathological examination was divided into grades I-III according to Jafe. All 31 patients were treated with surgery. A total of 29 cases were followed up. 19 cases had good joint function, 5 cases had slight limitation, 2 cases relapsed at 2 years after operation, and 1 case had relapsed and malignant at 11 months after operation.