摘要
为寻找良性骨缺损理想的充填材料,特别是修复儿童良性溶骨性较大的骨缺损,采用天然型无机骨(NNB)充填良性溶骨性骨缺损5例,其中骨囊肿3例,纤维异样增殖症1例,非骨化性纤维瘤1例。病变位于股骨中上段1例,股骨下段3例,肱骨上段1例。5例均行病灶开窗刮除,彻底清除内膜及瘤样病变。充填方块状NNB,术后伤口均Ⅰ期愈合。术后3个月~6个月活动正常。术后X线片复查见方块状NNB间及其内的间隙影消失,新生骨与周围骨壳融合,显示病灶愈合。经7个月~2年随访,病变区无复发。认为,NNB是修复良性溶骨性骨缺损理想的充填材料。
It is extremely necessary to find an ideal filling material for the treatment of benign bone defect, particularly those benign osteolytic defect in children with a comparatively large cavity. From July, 1995 to December, 1996, 10 cases of benign osteolytic bone defects were treated, in which 5 cases of benign osteolytic defects, 3 cases of bone cysts, 1 case of fibrous dysplasia of bone and 1 case of nonossifying fibroma. After thorough curettage of the cavity, the natural nonorganic bone in cubeshaped was used to fill the prepared cavity. The results showed that the activities of the patients resumed normal in 3 to 6 months after operation. The roentgenographic examination after operation showed that the lucent spaces between NNB cubes disappeared with obvious new bone formation and the bony cavity was obliterated with newlyformed bone. There was no recurrence of the lesion during a followup of 7 to 24 months. It was concluded that to treat the osteolytic defect of bone with NNB was a method of choice. The new bone formation appeared early in large amount and increased rapidly.
出处
《中国修复重建外科杂志》
CAS
CSCD
1998年第4期220-222,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
骨肿瘤
骨缺损
天然型无机骨
修复
NNB
Natural nonorganic bone(NNB) Benign bone tumor Osteolytic bone defect