目的探讨经股血管和股神经新手术入路治疗股骨小粗隆肿瘤的手术可行性及临床疗效。方法选择2010年1月—2013年1月收治的12例股骨小粗隆良性肿瘤患者,其中骨软骨瘤7例,骨样骨瘤2例,纤维结构不良2例,骨瘤1例,均经股血管、股神经之间进入切除肿瘤。采用视觉模拟评分法(VAS)评估术前、术后疼痛程度。随访时评估影像学资料。结果 12例患者术中病灶显露充分,均完整切除病变组织,术中出血较少。术后VAS评分均较术前明显改善,差异具有统计学意义(P<0.05)。12例患者均获得随访,随访时间0.6～3a,平均随访2.4a。术后影像学检查均未发现肿瘤复发、股骨头坏死、髋关节退变征象。结论经股神经与股血管手术入路可非常理想地显露股骨小粗隆区的病灶,是手术切除股骨小粗隆区肿瘤类病变的理想入路。 Objective To investigate the feasibility and clinical efficacy of surgical treatment of small trochanteric nevus of femur with new femoral and femoral nerve approach. Methods From January 2010 to January 2013, 12 patients with benign tumors of femur were selected. Among them, 7 were osteochondroma, 2 osteosarcoma, 2 were fibrous dysplasia and 1 was osteoma. Femoral vessels, femoral nerve into between the removal of the tumor. Visual analog scale (VAS) was used to evaluate the preoperative and postoperative pain. Imaging information was assessed at follow-up. Results 12 cases of intraoperative lesions revealed fully, were completely removed diseased tissue, less bleeding during surgery. Postoperative VAS scores were significantly improved compared with preoperative, the difference was statistically significant (P <0.05). All 12 patients were followed up for 0.6-3 years with an average follow-up of 2.4 years. Postoperative imaging examination showed no recurrence of tumor, necrosis of femoral head and signs of hip degeneration. Conclusion The approach of femoral and femoral vascular surgery can reveal the lesion of the lesser trochanter of the femur ideally. It is an ideal approach for surgically resecting the lesion in the lesser trochanter of the femur.