【摘要】 对 5 6例原发性股骨颈肿瘤及瘤样病变患者采用病灶刮除 ,自体骨、异体骨植入 ,钢板内固定 ,股骨头置换术等治疗。结果 :单纯性骨囊肿及骨纤维异样增殖症患者经刮除植骨无复发 ;骨巨细胞瘤、软骨粘液纤维瘤、动脉瘤样骨囊肿等复发率较高 ;术前有病理骨折者及病理恶性程度偏高者 ,预后不良。我们认为 ,对于原发性股骨颈病损 ,应尽早诊断 ,及时治疗 ,术前应综合分析其良、恶性程度 ,并根据术中病理结果采取适当的手术方法更多还原

【Abstract】 To find out the clinical characteristics of primary tumor and tumuroid lesions in femoral neck and explore the most suitable method of early diagnosis and treatment,56 cases with primary tumor and tumoroid lesions in femoral neck were treated surgically,including focus removal,autograft or allograft inplantation,internal fixtion,replacement.The result showed that there were no relapse for simple bone cyst and fibrotic aplastic syndrom.Macrocytic tumor of bone,cartilegous mucotic fibroma and aneurystic bone cyst all showed higher relapse rate,those with malignant pathology and pathological fracture showed poor prognosis.It suggested that the primary lesions in femoral neck need suitable treatment according to pathology as soon as possible.更多还原