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目的探讨非骨化性纤维瘤的国内外相关认识及治疗方法,并进行文献复习。方法对2014-07诊治的1例双侧股骨下段非骨化性纤维瘤采用病灶切除+植骨+钢板螺钉内固定术。结果综合临床、影像学及病理学检查确诊为非骨化性纤维瘤(双侧)。术后复查膝关节正侧位X线片可见植入骨条及引流管影,内固定位置良好。术后患肢功能恢复情况良好,无感染、血管、神经损伤等不良事件发生。结论非骨化性纤维瘤属于少见的良性肿瘤,发病率极低,病灶多为单发;X线片及CT检查均具有一定特征性表现,可提高术前诊断的准确性,但最终确诊金标准仍为病理学检查;治疗方法以随访观察为主,针对症状重、病灶增大显著以及病理性骨折高风险患者需考虑手术治疗。
Objective To investigate the related knowledge and treatment of non-ossifying fibroma at home and abroad and review the literature. Methods One case of bilateral femur non-ossifying fibromas treated in 2014-07 was treated by lesion resection, bone grafting and plate fixation. Results Comprehensive clinical, imaging and pathological examination confirmed non-ossifying fibroma (bilateral). Postoperative review of the knee posterior X-ray shows the implantation of bone and drainage tube shadow, internal fixation in good position. Postoperative limb function recovery is good, no infection, blood vessels, nerve injury and other adverse events. Conclusions Non ossifying fibroma is a rare benign tumor, with a very low incidence and mostly single lesions. X-ray and CT examination have some characteristic features that can improve the accuracy of preoperative diagnosis, but the final diagnosis of gold The standard is still pathological examination; treatment is based on follow-up observation, surgical treatment should be considered in patients with severe symptoms, increased lesions and high risk of pathological fracture.