数理医药学杂志2023年11月第36卷第11期J.Math.Med.Nov.2023,Vol.36,No.11863https://slyyx.whuznhmedj.com/·实践与交流·DOI:10.12173/j.issn.1004-4337.202308081基金项目：甘肃省自然科学基金项目（23JRRA1239）通信作者：宫玉锁，主任医师，硕士研究生导师，Email：gongyusuo@aliyun.com股骨近端大范围骨纤维结构不良合并病理性骨折1例马亚龙1，宫玉锁2，黄康1，禄成龙1，刘晓婷1，康付平1，兰垂世1，张新龙11.甘肃中医药大学中医临床学院（兰州730050）2.甘肃省中医院创伤骨三科（兰州730030）【摘要】骨纤维结构不良（fibrousdysplasiaofbone,FD）是一种非遗传性疾病，其特点是纤维和骨组织的肿瘤样增生，目前治疗主要以手术为主。本文报道了1例男性股骨近端大范围FD合并病理性骨折的病例，其FD侵袭范围涉及股骨头、股骨颈、股骨粗隆间及股骨小转子下部近端，经病灶刮除+同种异体腓骨条支撑植骨+打压植骨+锁定接骨板内固定术治疗后，患者下肢生理长度及颈干角恢复，在25个月的随访中，下肢功能活动恢复情况良好，未见患肢疼痛或FD复发。【关键词】骨纤维结构不良；病理性骨折；股骨近端；手术治疗Extensivefibrousdysplasiaofboneofproximalfemurcomplicatedwithpathologicalfracture:acasereportYa-LongMA1,Yu-SuoGONG2,KangHUANG1,Cheng-LongLU1,Xiao-TingLIU1,Fu-PingKANG1,Chui-ShiLAN1,Xin-LongZHANG11.ClinicalCollegeofChineseMedicine,GansuUniversityofChineseMedicine,Lanzhou730050,China2.TheThirdDepartmentofTraumaticOrthopedics,GansuProvincialHospitalofTraditionalChineseMedicine,Lanzhou730030,ChinaCorrespondingauthor:Yu-SuoGONG,Email:gongyusuo@aliyun.com【Abstract】Fibrousdysplasiaofbone(FD)isanon-hereditarydiseasecharacterizedbytumor-likehyperplasiaoffibrousandbonetissue,currentlytreatedmainlywithsurgery.AmalecaseofextensiveFDofproximalfemurcombinedwithpathologicalfracturewasreported.ThescopeofFDinvasioninvolvedfemoralhead,femoralneck,intertrochantericfemurandproximallowertrochanteroffemur.Aftertreatmentwithlesioncurettage+speciallydesignedchannelallogeneicfibulastripsupportbonegrafting+compressionbonegrafting+lockedboneplateinternalfixation,thepatient’sphysiologicallengthoflowerlimbandtrunkangleofneckrecovered.At25monthsoffollow-up,thepatienthadagoodr...
