桡骨近端骨肿瘤切除重建:2例病例报告并文献复习

Resection and reconstruction of proximal radial bone tumors: two case reports and literature review

摘要:

桡骨近端骨肿瘤发病率较低，临床病例少，目前尚没有规范的手术治疗策略和并发症报道，本文报道了本院近年收治的 2 例桡骨近端骨肿瘤患者，分别采用肿瘤段切除腓骨植骨内固定术和瘤段灭活回植内固定术，术后均取得良好的手术效果，尤其是前臂旋转功能的重建取得了令人满意的效果。结合国内外报道的相关文献进行复习，发现该部位发病肿瘤恶性程度相对较低，手术方式多样，多数患者术后出现了前臂旋转功能受限、腕背伸活动受限、桡神经麻痹、下尺桡关节脱位等并发症。本文总结桡骨近端骨肿瘤不同手术方案的手术疗效及并发症，为临床提供策略。

Abstract:

Due to relatively low incidence, there are no universal surgical treatment strategies for the proximal radial bone tumors, with rare reports about the surgical complications at present. This paper reported 2 patients who had the proximal radial bone tumor curetted or resected, followed by proximal radial reconstruction with fibular segment bone autograft or tumor segment inactivated and reimplantation in our hospital in recent years. Both patients achieved satisfactory results, especially with good forearm rotation function. Combined with the review of relevant literature reported at home and abroad, it was found that the malignant degree of the tumor in this area was relatively low, and the surgical methods were diverse. Most patients have postoperative complications, such as limited forearm rotation function, limited wrist dorsiflexion activity, radial nerve palsy, and inferior radioulnar joint dislocation. This article summarizes the surgical efficacy and com- plications of different surgical procedures for proximal radial bone tumors, and provides a reference for clinical practice.