[1]熊小龙* 王广积 方业汉 杜秀藩 黄晖 叶志方.手术治疗青少年四肢骨软骨瘤的比较[J].中国微创外科杂志,2020,01(3):237-239.
　Xiong Xiaolong,Wang Guangji,Fang Yehan,et al.Comparison of Arthroscopic and Open Resection for the Treatment of Extremity Osteochondromas in Adolescents[J].Chinese Journal of Minimally Invasive Surgery,2020,01(3):237-239.
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手术治疗青少年四肢骨软骨瘤的比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年3期
页码:
237-239
栏目:
临床研究
出版日期:
2020-03-25

文章信息/Info

Title:
Comparison of Arthroscopic and Open Resection for the Treatment of Extremity Osteochondromas in Adolescents
作者:
熊小龙* 王广积 方业汉 杜秀藩 黄晖 叶志方
（海南省人民医院海南医学院附属海南医院运动医学科，海口570311）
Author(s):
Xiong Xiaolong;  Wang Guangji;  Fang Yehan;  et al.
Department of Sports Medicine, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou 570311, China
关键词:
关节镜; 骨软骨瘤; 青少年
Keywords:
Arthroscopy; Osteochondromas; Adolescent
文献标志码:
A
摘要:
目的探讨关节镜与开放手术治疗青少年四肢骨软骨瘤的疗效。 方法回顾性分析2014年1月~2019年7月我院70例青少年四肢骨软骨瘤的临床资料，其中开放手术切除38例，关节镜下切除32例。比较2组手术时间、术中出血量、疼痛视觉模拟评分（Visual Analogue Scale，VAS）、术后住院时间、并发症及复发率。 结果与开放组比较，关节镜组术中出血少［(8.7±2.7)ml vs. (42.6±12.8)ml, t=-15.903, P=0.000］，术后第1天疼痛VAS评分低［(2.4±0.8)分vs. (6.5±1.0)分，t=-18.328,P=0.000］，术后住院时间短［(1.8±0.6)d vs. (4.0±2.2)d，t=-5.615,P=0.000］，2组手术时间、并发症无显著差异（P>0.05）。2组随访3个月~5年，中位数22个月，均无复发。 结论关节镜与开放手术切除青少年四肢骨软骨瘤均安全可行，但关节镜手术具有出血少、术后疼痛轻、住院时间短的优势。
Abstract:
ObjectiveTo explore the clinical efficacy of arthroscopic and open resection for the treatment of extremity osteochondromas in adolescents.MethodsClinical data of 70 adolescent patients with extremity osteochondroma in our hospital from January 2014 to July 2019 were analyzed retrospectively. There were 38 cases of open resection and 32 cases of arthroscopic resection. The operation time, intraoperative blood loss, postoperative Visual Analogue Scale (VAS) score, postoperative hospitalization days, postoperative complications and postoperative recurrence rate were compared between the two groups. ResultsAs compared to the open surgery group, the arthroscopy group had lower intraoperative blood loss ［(8.7±2.7) ml vs. (42.6±12.8) ml, t=-15.903, P=0.000］, lower postoperative VAS score on the first day ［(2.4±0.8) points vs. (6.5±1.0) points, t=-18.328, P=0.000］, and shorter postoperative hospital stay ［(1.8±0.6) d vs. (4.0±2.2) d, t=-5.615, P=0.000］. The operative time, postoperative complications were not significantly different (P>0.05) in the two groups. The two groups were followed up for 3 months to 5 years, with a median of 22 months. No recurrence was found. ConclusionBoth arthroscopic and open resection for the treatment of extremity osteochondromas in adolescents are safe and feasible, but the arthroscopic resection has the clinical advantages of less bleeding, less postoperative pain, and shorter postoperative hospitalization days.

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备注/Memo

备注/Memo:
*通讯作者，Email：nfcsgk921@163.com
更新日期/Last Update: 2020-06-19