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目的探讨手术治疗手部腱鞘巨细胞瘤(GCTTS)的疗效,并对相关文献进行回顾性分析。方法对2009年1月~2013年9月本院收治的23例手部GCTTS患者行手术切除,随访6个月~1年观察治疗效果,并结合相关文献分析手部GCTTS的治疗方法。结果 23例患者18例一次治愈,5例复发。2003年~2013年有关手部GCTTS治疗的文献分析发现,手术治疗一次治愈率为42.12%~84.23%,复发率为7.28%~56.25%。结论手术切除是手部GCTTS唯一、切实有效的治疗方法 ,术中完整切除肿瘤是防止复发的关键。
Objective To investigate the curative effect of surgically treating giant cell tumor of tendon sheath (GCTTS) in hand and to review the relevant literature retrospectively. Methods Twenty-three patients with GCTTS treated in our hospital from January 2009 to September 2013 underwent surgical resection. The follow-up was performed for 6 months to 1 year. The therapeutic effects of GCTTS in hand were analyzed with relevant literature. Results Twenty-three of the 23 patients were cured at one time and 5 patients relapsed. From 2003 to 2013, the literature analysis of the treatment of GCTTS by hand showed that the first-time cure rate was 42.12% -84.23% and the recurrence rate was 7.28% -56.25%. Conclusions Surgical resection is the only effective and effective treatment for GCTTS in hand. The complete removal of tumor during operation is the key to prevent recurrence.